Necrotizing fasciitis due to Streptococcus mitis caused by accidental human bite

  • Aliye Bastug Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Sumeyye Kislak Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Nevzat Mehmet Mutlu Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Zeynep Nur Akcaboy Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Asude Koksal Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Ahmet Sertcelik Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Ramazan Erkin Ünlü Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Esragul Akinci Ankara Numune Training and Research Hospital, Ankara, Turkey
  • Hurrem Bodur Ankara Numune Training and Research Hospital, Ankara, Turkey
Keywords: Necrotizing fasciitis, human bite infections, Streptococcus mitis, wound infection

Abstract

Human bite wounds are more prone to infection than animal bites, which may cause necrotizing soft tissue infections such as myositis, fasciitis. Both aerobic and anaerobic microorganisms may be responsible, including Streptococcus spp., Staphylococcus aureus, Peptostreptococcus spp. Necrotizing fasciitis is characterized by serious tissue destruction and systemic toxicity with high morbidity and mortality. We report a patient with Streptococcus mitis associated necrotizing fasciitis on the upper extremity resulting from an accidental human bite, which caused nearly fatal infection. Prophylactic antibiotic treatment should be given after a human bite to prevent infection. If the infection signs and symptoms develop, rapid diagnosis, appropriate antibiotic and surgical therapy should be administered immediately. Streptococcus mitis is a viridans streptococcus, usually known as a relatively benign oral streptococcus. To our knowledge, this is the first necrotizing fasciitis case due to Streptococcus mitis after human bite.

Author Biographies

Aliye Bastug, Ankara Numune Training and Research Hospital, Ankara, Turkey
Infectious Disease and Clinical Microbiology, MD
Sumeyye Kislak, Ankara Numune Training and Research Hospital, Ankara, Turkey
Infectious Disease and Clinical Microbiology,MD
Nevzat Mehmet Mutlu, Ankara Numune Training and Research Hospital, Ankara, Turkey
Anesthesiology and Reanimation, MD
Zeynep Nur Akcaboy, Ankara Numune Training and Research Hospital, Ankara, Turkey
Anesthesiology and Reanimation,MD
Asude Koksal, Ankara Numune Training and Research Hospital, Ankara, Turkey
Plastic and Reconstructif Surgery, MD
Ahmet Sertcelik, Ankara Numune Training and Research Hospital, Ankara, Turkey
Infectious Disease and Clinical Microbiology,MD
Ramazan Erkin Ünlü, Ankara Numune Training and Research Hospital, Ankara, Turkey
Plastic and Reconstructif Surgery,Associated Prof
Esragul Akinci, Ankara Numune Training and Research Hospital, Ankara, Turkey
Infectious Disease and Clinical Microbiology,Prof
Hurrem Bodur, Ankara Numune Training and Research Hospital, Ankara, Turkey
Infectious Disease and Clinical Microbiology,Prof
Published
2016-01-31
How to Cite
1.
Bastug A, Kislak S, Mutlu NM, Akcaboy ZN, Koksal A, Sertcelik A, Ünlü RE, Akinci E, Bodur H (2016) Necrotizing fasciitis due to Streptococcus mitis caused by accidental human bite. J Infect Dev Ctries 10:100-102. doi: 10.3855/jidc.7040
Section
Case Reports