A Fatal Case of Multidrug Resistant Acinetobacter Necrotizing Fasciitis: The Changing Scary Face of Nosocomial Infection

Table 1

Patient characteristics of reported monomicrobial Acinetobacter baumannii associated necrotizing fasciitis.

Patient [reference]	Age	Sex	Comorbidities	Devices present	Location	Sepsis	Acinetobacter culture site	Surgery/trauma	Prior cultures	Prior use of antibiotics	Outcome
1 [12]	83	M	CAD, CHF, cirrhosis, left upper arm cellulitis (4 weeks ago)	No	Left upper arm	Yes	Blood	Unknown	Unknown	Yes	Died
2 [5]	21	M	SLE, ESRD, TTP, mesenteric vasculitis	Yes	Left flank and thigh	Yes	Blood & muscle tissue	Yes	E. faecium,; Candida albicans,; Clostridium difficile,; K. pneumoniae, Citrobacter freundii	Multiple	Died within; 36 h of initial symptom
3 [5]	47	F	HIV, ESRD	Yes	Right thigh	Yes	Blood	Yes	Methicillin resistant coag. neg. staph,; P. aeruginosa	Multiple	Died in 18; days
4 [19]	55	M	Gunshot wound on right buttock, femur fracture, sciatic nerve injury	Yes	Hip, abdomen	Yes	Blood, OR cultures	Yes	None	Multiple	Survived
5 [19]	22	M	Gunshot wound on abdomen	Yes	Abdomen, flank	Yes	Blood, bullae	Yes	None	Multiple	Survived
Index patient	48	F	HIV, asthma, HTN, mood disorder	No	Right thigh and flank	Yes	Blood, debrided tissue	No	None	Yes	Died within 20 h of initial symptom

CAD: coronary artery disease; CHF: congestive heart failure; ESRD: end-stage renal disease; HIV: human immunodeficiency virus; SLE: systemic lupus erythematosus; TTP: thrombotic thrombocytopenic purpura.