Bacillus cereus Necrotizing Cellulitis Mimicking Clostridial Myonecrosis: Case Report and Review of the Literature

Fran T. Meredith ivisions of Infectious Diseases and International Health, Duke University Medical Center, Durham, NCUSA; ivisions of Clinical Microbiology Laboratory, Duke University Medical Center, Durham, NCUSA

Vance G. Fowler ivisions of Infectious Diseases and International Health, Duke University Medical Center, Durham, NCUSA

Marc Gautier ivisions of Hematology and Oncology, Duke University Medical Center, Durham, NCUSA

G. Ralph Corey ivisions of Infectious Diseases and International Health, Duke University Medical Center, Durham, NCUSA

L. Barth Reller ivisions of Infectious Diseases and International Health, Duke University Medical Center, Durham, NCUSA; ivisions of Clinical Microbiology Laboratory, Duke University Medical Center, Durham, NCUSA

Abstract

We describe a case of rapidly progressive necrotizing cellulitis in an immunocompromised farmer caused by Bacillus cereus, and review 15 additional cases of serious soft tissue infection due to this organism reported in the English language literature. These cases illustrate the potential for B. cereus to cause fulminant soft tissue disease indistinguishable from that caused by clostridia.

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Bacillus cereus Necrotizing Cellulitis Mimicking Clostridial Myonecrosis: Case Report and Review of the Literature

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Bacillus cereus Necrotizing Cellulitis Mimicking Clostridial Myonecrosis: Case Report and Review of the Literature

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