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Necrotizing Fasciitis of the Lower Extremity Caused by Serratia marcescens

A Case Report

Evelyn G. Heigh Department of Podiatric Medicine and Surgery, North Shore–Long Island Jewish Medical Center, New Hyde Park, NY.

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April Maletta-Bailey Department of Podiatric Medicine and Surgery, North Shore–Long Island Jewish Medical Center, New Hyde Park, NY.

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John Haight Department of Podiatric Medicine and Surgery, North Shore–Long Island Jewish Medical Center, New Hyde Park, NY.

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Gregg S. Landis Department of Vascular and Endovascular Surgery, North Shore–Long Island Jewish Medical Center, New Hyde Park, NY.

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Necrotizing fasciitis is a rare and potentially fatal infection, with mortality of up to 30%. This case report describes a patient recovering from a laryngectomy for laryngeal squamous cell cancer who developed nosocomial necrotizing fasciitis of the lower extremity due to Serratia marcescens. Only eight cases of necrotizing fasciitis exclusive to the lower extremity due to S marcescens have been previously reported. Patients with S marcescens necrotizing fasciitis of the lower extremity often have multiple comorbidities, are frequently immunosuppressed, and have a strikingly high mortality rate.

Corresponding author: Evelyn G. Heigh, DPM, Department of Podiatric Medicine and Surgery, North Shore–Long Island Jewish Medical Center, 27005 76th Ave, New York, NY 11040. (E-mail: Eheigh@gmail.com)