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. 2017 Oct 25;5(4):2324709617736791.
doi: 10.1177/2324709617736791. eCollection 2017 Oct-Dec.

First Necrotizing Fasciitis Caused by Haemophilus influenza Serotype a

Giang T Quach  1 , Jared Frisby  2 , Kurt Kralovich  3 , Mustafa Bohra  3
Affiliations

First Necrotizing Fasciitis Caused by Haemophilus influenza Serotype a

Giang T Quach et al. J Investig Med High Impact Case Rep. .

Abstract

Necrotizing fasciitis (NF) is an infrequently encountered skin infection that has high morbidity and mortality, even with prompt medical and surgical intervention. We describe the case of a 67-year-old male presenting with significant NF in his left lower extremity, despite aggressive surgical intervention, and included multiple surgical debridements, ACell Matrix, split-thickness, and negative wound VAC therapy. Ultimately, this patient required a below the knee amputation. This is the first documented case of Haemophilus influenza type a causing NF.

Keywords: Haemophilus influenza; Haemophilus influenza serotype a; necrotizing fasciitis; necrotizing soft tissue.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Left lower extremity on presentation; extensive necrotic tissues with multiple bullae observed from medial malleolus to proximal thigh.
Figure 2.
Figure 2.
Hospital day 2: More necrotic tissues presented, especially posterior knee and beyond medial malleolus.
Figure 3.
Figure 3.
Hospital day 42: Skin and cutaneous tissue from the left distal tibia was used as a full-thickness skin to complete closure of the AKA.
See this image and copyright information in PMC

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