Necrotizing fasciitis after a cat bite: a case report].

Tomohiro Hosoda, Naoki Yanagisawa, Hiroshi Morioka, Akihiko Suganuma, Akifumi Imamura, Atsushi Ajisawa

Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital.

Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases 2013 Mar

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We report on a previously healthy 56-year-old woman who was referred to our hospital with fever and progressive left foot pain. She had been bitten by a cat 7 days previously, and cephalosporins had been prescribed for treatment. However, her clinical symptoms deteriorated, and physical examination on admission was compatible with necrotizing fasciitis. Treatment with ampicillin-sulbactam and clindamycin was initiated. In addition, immediate surgical debridement was performed, resulting in therapeutic success. Culture of the necrotizing tissue grew multiple organisms, including Pasteurella multocida and Bacteroides caccae. Administration of appropriate antibiotics after a cat bite is essential for the prevention of potentially fatal complications.

Citation

Tomohiro Hosoda, Naoki Yanagisawa, Hiroshi Morioka, Akihiko Suganuma, Akifumi Imamura, Atsushi Ajisawa. Necrotizing fasciitis after a cat bite: a case report]. Kansenshōgaku zasshi. The Journal of the Japanese Association for Infectious Diseases. 2013 Mar;87(2):211-4