Armed Forces Infectious Diseases Society
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Answer to Case 8






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Necrotizing fasciitis

Necrotizing fasciitis and clostridial myonecrosis due to infection with Clostridium septicum. The patient required multiple extensive debridements down to bone (see image below), but did not survive the severe infection with severe septic shock. Blood and wound cultures were positive for the organism. At autopsy, an occult colonic malignancy was also noted--presumably the source for her infection.


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Submitted by COL Robert Kazragis, Infectious Disease Service, Dwight David Eisenhower Army Medical Center, Fort Gordon, GA. (Photos courtesy of Dr. James North, Department of Surgery, DDEAMC.)





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