Ann Lab Med.  2018 Nov;38(6):604-606. 10.3343/alm.2018.38.6.604.

First Case of Necrotizing Fasciitis Caused by Skermanella aerolata Infection Mimicking Vibrio Sepsis

Affiliations
  • 1Department of Infectious Disease, Jeju National University School of Medicine, Jeju, Korea.
  • 2Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.
  • 3Department of Molecular Cell Biology and Samsung Medical Center, Sungkyunkwan University School of Medicine, Suwon, Korea. ksko@skku.edu
  • 4Department of Microbiology and Immunology, Jeju National University School of Medicine, Jeju, Korea.

Abstract

No abstract available.


MeSH Terms

Fasciitis, Necrotizing*
Sepsis*
Vibrio*

Figure

  • Fig. 1 Development of infected area. Swelling and small vesicles (A, black arrow) detected on the left ankle area of the patient on presentation to the emergency department. The lesions changed to hemorrhagic bullae (B, black arrow) extending from the foot to shin area within about 12 hours after admission. In the operating room, the skin of the left foot detached easily along the lateral aspect (C) with progression to an ischemic color change (D) along the medial aspect.

  • Fig. 2 Phylogenetic tree of isolates JNU1710-3 (from tissue) and JNU1710-4 (from serum) and species of Skermanella based on 16S rRNA gene sequences. The tree was reconstructed by the neighbor-joining method (MEGA 5.10), and Azospirillium oryzae COC8T was used as an outgroup. Numbers on branching nodes are percentages of 1,000 bootstrap replications; only values ≥ 50% are shown. The scale bar represents one substitution per 100 nucleotides.


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