Anaerobic, Non-Clostridial Fasciitis and Myonecrosis of the Abdominal Wall: Pure Anaerobic Infection Originating from Neglected Inflammation of an Urachal Remnant

Jens H. Scheibel Surgical Department K and Regional Department of Clinical Microbiology, Statens Seruminstitut, Frederiksberg Hospital, and the Department of Clinical Bacteriology, Institute of Medical Microbiology, University of Copenhagen, Copenhagen, Denmark

Mogens Lykkegaard Nielsen Surgical Department K and Regional Department of Clinical Microbiology, Statens Seruminstitut, Frederiksberg Hospital, and the Department of Clinical Bacteriology, Institute of Medical Microbiology, University of Copenhagen, Copenhagen, Denmark

Thomas Gerstenberg Surgical Department K and Regional Department of Clinical Microbiology, Statens Seruminstitut, Frederiksberg Hospital, and the Department of Clinical Bacteriology, Institute of Medical Microbiology, University of Copenhagen, Copenhagen, Denmark

Tage Justesen Surgical Department K and Regional Department of Clinical Microbiology, Statens Seruminstitut, Frederiksberg Hospital, and the Department of Clinical Bacteriology, Institute of Medical Microbiology, University of Copenhagen, Copenhagen, Denmark

Abstract

A pure anaerobic infection of the abdominal wall of a 40-year-old man is described. The infection originated from an urachal remnant. Seven different bacterial strains were isolated. Even though no clostridia were involved, the infection caused extensive necrosis of the abdominal wall including both fascia and muscles.

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Anaerobic, Non-Clostridial Fasciitis and Myonecrosis of the Abdominal Wall: Pure Anaerobic Infection Originating from Neglected Inflammation of an Urachal Remnant

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Anaerobic, Non-Clostridial Fasciitis and Myonecrosis of the Abdominal Wall: Pure Anaerobic Infection Originating from Neglected Inflammation of an Urachal Remnant

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