Upper extremity myonecrosis caused by edwardsiella tarda resulting in transhumeral amputation: Case report

Samuel N. Crosby, Mark Christopher Snoddy, Cameron T. Atkinson, Donald H. Lee, Douglas R. Weikert

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Necrotizing soft tissue infections are rapidly progressive infections with a high rate of mortality. One type of necrotizing soft tissue infection is caused by marine gram-negative bacteria and commonly occurs in immunocompromised hosts. These types of infections are more common in patients with chronic liver disease, possibly because of impaired iron metabolism. We present the case of a rapidly progressive necrotizing soft tissue infection caused by Edwardsiella tarda, a marine gram-negative pathogen common in catfish. Few extraintestinal infections of E tarda have been described previously. Our patient had hepatitis C and was exposed to the bacteria by a puncture injury from a wild catfish. His infection required multiple debridements and ultimately required a transhumeral amputation for local control of the infection.

Original languageEnglish (US)
Pages (from-to)129-132
Number of pages4
JournalJournal of Hand Surgery
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

Fingerprint

Edwardsiella tarda
Amputation
Upper Extremity
Soft Tissue Infections
Catfishes
Infection
Immunocompromised Host
Debridement
Hepatitis C
Infection Control
Gram-Negative Bacteria
Punctures
Liver Diseases
Chronic Disease
Iron
Bacteria
Mortality
Wounds and Injuries

Keywords

  • Catfish
  • Edwardsiella tarda
  • infection
  • marine pathogen
  • necrotizing fasciitis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Upper extremity myonecrosis caused by edwardsiella tarda resulting in transhumeral amputation : Case report. / Crosby, Samuel N.; Snoddy, Mark Christopher; Atkinson, Cameron T.; Lee, Donald H.; Weikert, Douglas R.

In: Journal of Hand Surgery, Vol. 38, No. 1, 01.01.2013, p. 129-132.

Research output: Contribution to journalArticle

Crosby, Samuel N. ; Snoddy, Mark Christopher ; Atkinson, Cameron T. ; Lee, Donald H. ; Weikert, Douglas R. / Upper extremity myonecrosis caused by edwardsiella tarda resulting in transhumeral amputation : Case report. In: Journal of Hand Surgery. 2013 ; Vol. 38, No. 1. pp. 129-132.
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