First Case of Necrotizing Fasciitis Caused by Skermanella aerolata Infection Mimicking Vibrio Sepsis
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The genus Skermanella, comprising gram-negative, motile, and pigmented bacteria, was first described in 1999 [1]. However, human infections caused by Skermanella have not been reported to date [2, 3]. Here, we present a case of necrotizing fasciitis caused by Skermanella sp. This study was exempted by the Institutional Review Board of Jeju National University Hospital (IRB No: JNUH 2018-04-005). A 76-year-old man with a 13-year history of hypertension and a 6-year history of diabetes mellitus was transferred to a tertiary-care hospital (Jeju National University Hospital, Jeju, Korea) from a local clinic after experiencing pain in the left lower limb and hypotension for one day. The patient resided in a rural area and had consumed fresh fish at a Japanese restaurant, five days prior to the appearance of his presenting symptoms. On admission, his vital signs were as follows: blood pressure, 66/50 mmHg; pulse rate, 105/minutes; respiratory rate, 31/minutes; and body temperature, 38.7°C. On physical examination, his mental status was alert,
Abstract
The genus Skermanella, comprising gram-negative, motile, and pigmented bacteria, was first described in 1999 [1]. However, human infections caused by Skermanella have not been reported to date [2, 3]. Here, we present a case of necrotizing fasciitis caused by Skermanella sp. This study was exempted by the Institutional Review Board of Jeju National University Hospital (IRB No: JNUH 2018-04-005). A 76-year-old man with a 13-year history of hypertension and a 6-year history of diabetes mellitus was transferred to a tertiary-care hospital (Jeju National University Hospital, Jeju, Korea) from a local clinic after experiencing pain in the left lower limb and hypotension for one day. The patient resided in a rural area and had consumed fresh fish at a Japanese restaurant, five days prior to the appearance of his presenting symptoms. On admission, his vital signs were as follows: blood pressure, 66/50 mmHg; pulse rate, 105/minutes; respiratory rate, 31/minutes; and body temperature, 38.7°C. On physical examination, his mental status was alert,
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