Case Reports   |    
Necrotizing Fasciitis Caused by Methicillin-Resistant Staphylococcus aureus Resulting in DeathA Report of Three Cases
Nai-Chen Cheng, MD1; Shan-Chwen Chang, MD, PhD1; Yuan-Sung Kuo, MD1; Jiun-Ling Wang, MD1; Yueh-Bih Tang, MD, PhD1
1 Departments of Surgery (N.-C.C., Y.-S.K., and Y.-B.T.) and Internal Medicine (S.-C.C. and J.-L.W.), National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan. E-mail address for Y.-B. Tang: phoebe@ha.mc.ntu.edu.tw
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Investigation performed at the Departments of Surgery and Internal Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 May 01;88(5):1107-1110. doi: 10.2106/JBJS.E.01048
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Necrotizing fasciitis is a life-threatening infection of the superficial muscle fascia and adjacent subcutaneous tissue. These infections are typically caused by group-A Streptococcus, a mixture of aerobic and anaerobic organisms, or organisms of the Clostridia species1. Staphylococcus aureus has been occasionally reported as a monomicrobial causative agent of necrotizing fasciitis, and methicillin-resistant Staphylococcus aureus was described as the cause of two cases of hospital-associated necrotizing fasciitis2,3. Nevertheless, over the past few years, the incidence of community-acquired methicillin-resistant Staphylococcus aureus infection has substantially increased4,5. The majority of these infections are of the skin and soft tissues5,6.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    LA - Ochsner Health System
    IL - The University of Chicago's Department of Orthopaedic Surgery and Rehabilitation Medicine
    PA - Thomas Jefferson University
    NY - Icahn School of Medicine at Mount Sinai