Serratia marcescens necrotizing fasciitis presenting as bilateral breast necrosis

Serratia marcescens is an extremely rare cause of necrotizing fasciitis. We report the first case of necrotizing fasciitis of the chest wall due to infection with S. marcescens that initially manifested as bilateral breast necrosis. The patient had a fulminant course leading to death within 72 h of presentation. Literature pertinent to S. marcescens-mediated necrotizing fasciitis is also reviewed

Comment on the paper "Hypophosphatemia after cardiothoracic surgery"

SCOPUS: le.jinfo:eu-repo/semantics/publishe

Necrotizing fasciitis: a surgical emergency

none5Accurate assessment and timely interventions are critical in the treatment of patients affected with necrotizing fasciitis, a rare, fulminating, potentially life-threatening, infectious process of the soft tissues. Understanding the natural history and unique characteristics of this disease is crucial to achieve early recognition, effective management and a favorable patient outcome. Classic symptoms include severe pain, erythema, mottling, crepitus, skin anesthesia, warmth, tenderness, bullous formations and edema in the affected area and fever. This article aims at reviewing the information known about this disease, collected from various sources. Radical surgical debridement, broad-spectrum antibiotics, negative pressure wound therapy and hyperbaric oxygen therapy are considered to be the cornerstones of treatment.mixedD. de Tullio; C. Rossi; S. Bolzon; L. Scagliarini; S. OcchionorelliDE TULLIO, Damiano; Rossi, Camilla; Bolzon, Stefano; Scagliarini, Lucia; Occhionorelli, Savin