Escherichia coli necrotizing fasciitis in Hirschsprung's disease

• Main Authors: Manal A. Alsaif, Joan L. Robinson
• Format: Article
• Language: English
• Published: Elsevier 2015-04-01
• Series: Journal of Pediatric Surgery Case Reports
• Subjects: Necrotizing fasciitis; Escherichia coli; Necrotoxin; Hirschsprung's disease; Children
• Online Access: http://www.sciencedirect.com/science/article/pii/S2213576615000329

Necrotizing fasciitis is a rare post-operative complication of Hirschsprung's disease. Very recently the only previous case of necrotizing fasciitis following a Soave procedure was reported with the etiologic agent being Pseudomonas aeruginosa. Here we are reporting the second case of necrotizing fasciitis following a Soave procedure caused by an extended spectrum beta lactamase harboring strain of Escherichia coli which is a rare pathogen in type II necrotizing fasciitis.