Abstract
We present a diabetic patient with necrotizing fasciitis caused by Citrobacter freundii associated with an injury from the fish fin. Two isolates recovered six days after cefotaxime treatment had a cefotaxime minimum inhibitory concentration (MIC) of 0.12 and 256 mg/L, respectively, and a cefepime MIC of 0.03 and 0.25 mg/L, respectively. The two isolates both possessed blaCMY-2 gene. The patient responded unsatisfactorily to cefotaxime and cefepime therapy and surgical debridement but recovered completely after ertapenem treatment for 42 days.
Original language | English (US) |
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Pages (from-to) | e161-e163 |
Journal | Journal of Infection |
Volume | 53 |
Issue number | 3 |
DOIs | |
State | Published - Sep 1 2006 |
Keywords
- Citrobacter freundii
- Necrotizing fasciitis
- bla gene ertapenem
ASJC Scopus subject areas
- Microbiology (medical)
- Infectious Diseases