Extensive monomicrobial necrotizing fasciitis and myonecrosis of left hemi trunk in a healthy 41-year-old man with COVID-19 infection

Maryam Sarkardeh; Ali Ahmadabadi; Zahra Sadrzadeh; Javad Koushki; Amir Esmaeili; Sima Davoodi; Mostafa Izanlu

doi:10.18502/ijm.v14i5.10973

Maryam Sarkardeh Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Ali Ahmadabadi Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Zahra Sadrzadeh Department of Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Javad Koushki Department of Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Amir Esmaeili Department of Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Sima Davoodi Department of Dermatology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Mostafa Izanlu Department of Pathology, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

DOI: https://doi.org/10.18502/ijm.v14i5.10973

Keywords: Necrotizing fasciitis; COVID-19; Escherichia coli; Vacuum-assisted closure

Abstract

Necrotizing fasciitis and myonecrosis caused by Escherichia coli is an extremely uncommon infection with a high mortality. We present a case of 41-year-oldman with no history of underlying disease one week after covid-19 infection, who was admitted with symptoms of Fournier's gangrene and then E. coli-induced monomicrobial necrotizing fasciitis.