Necrotizing Soft Tissue Infection Secondary to Streptococcus constellatus, Actinomyces odontolyticus, and Gemella morbillorum in an Intravenous Drug User: A Case Report and Literature Review.
| Autor: | Sebastian A; Surgery, Maimonides Medical Center, Brooklyn, USA., Sebastian N; Surgery, Maimonides Medical Center, Brooklyn, USA., Arulthasan M; Infectious Disease, Maimonides Medical Center, Brooklyn, USA., Simon R; Surgery, Maimonides Medical Center, Brooklyn, USA., Nicastro JM; Surgery, Maimonides Medical Center, Brooklyn, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Apr 08; Vol. 15 (4), pp. e37314. Date of Electronic Publication: 2023 Apr 08 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.37314 |
| Abstrakt: | A 53-year-old male with active IV heroin use presented with left upper extremity pain, erythema, swelling, and purulent foul-smelling drainage. Rapid diagnosis of necrotizing soft tissue infection (NSTI) was made based on clinical and radiologic findings. He was taken to the operating room for wound washouts and surgical debridements. The early microbiologic diagnosis was made based on intraoperative cultures. Successful treatment of NSTI in the setting of rare pathogens was achieved. The wound was ultimately treated with wound vac therapy, followed by primary delayed closure of the upper extremity and skin grafting of the forearm. We present a case of NSTI secondary to Streptococcus constellatus, Actinomyces odontolyticus, and Gemella morbillorum in an intravenous (IV) drug user, successfully treated with early surgical intervention. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Sebastian et al.) |
| Databáze: | MEDLINE |
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