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RESEARCH ARTICLE

A case of gonococcal necrotising fasciitis

Kudzai Nzenza Kanhutu A D , Denis D. Spelman B and Michael D. Weymouth C
+ Author Affiliations
- Author Affiliations

A Department of Infectious Diseases, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia.

B Department of Microbiology, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia.

C Plastic, Hand and Facio-Maxillary Surgery Unit, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia.

D Corresponding author. Email: kudzaikanhutu@gmail.com

Sexual Health 11(3) 280-282 https://doi.org/10.1071/SH14027
Submitted: 4 February 2014  Accepted: 27 May 2014   Published: 24 July 2014

Abstract

This case report details the progress of a patient with severe disseminated gonococcal infection with associated necrotising fasciitis. His admission was punctuated by multiple surgical debridements and a prolonged intensive care stay due to multiple organ failure. An extended course of azithromycin-based antimicrobial therapy achieved a cure and the patient was eventually discharged home after 8 weeks. To our knowledge this is the first such case of histologically and microbiologically confirmed gonococcal necrotising fasciitis.

Additional keywords: Australia, azithromycin, gonorrhoea, Neisseria gonorrhoeae.


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