Monomicrobial Pseudomonas necrotizing fasciitis: A case of infection by two strains and a review of 37 cases in the literature

Abstract

Necrotizing fasciitis due to Pseudomonas aeruginosa is rare. We report a case of monomicrobial Pseudomonas necrotizing fasciitis and review 37 cases in the literature. The mortality rate was 30%, and most infections occurred in the immunocompromised. Clinicians should consider empiric pseudomonal antibiotic coverage in the severely immunocompromised with potentially necrotizing infections.

Keywords::

• Pseudomonas infection
• necrotizing fasciitis
• immunocompromise

Acknowledgements

We thank Dr Arnold Weinberg for his help and guidance. We thank Carole Foxman for assistance with literature searches.

Declaration of interest: The authors report no conflicts of interest.