Necrotizing fasciitis caused by Staphylococcus aureus

A. Regev*, M. Weinberger, M. Fishman, Z. Samra, S. D. Pitlik

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Two patients with rapidly progressive necrotizing fasciitis of a lower extremity due to Staphylococcus aureus as a single pathogen are described. In both patients the portal of entry was attributed to needle puncture (intra-articular injection and intravenous catheter, respectively), followed by bacteremia. Necrotizing fasciitis occurred in a site remote from the needle puncture, suggesting metastatic infection. One patient developed toxic shock syndrome and the other a sunburn-like rash and erythematous mucosae with strawberry tongue. One patient died, and the other required above-knee amputation due to secondary infectious complications. Staphylococcus aureus may mimic the presentation of invasive group A streptococcal infections. A history of needle puncture should alert the physician to the possibility of Staphylococcus aureus infection.

Original languageEnglish
Pages (from-to)101-103
Number of pages3
JournalEuropean Journal of Clinical Microbiology and Infectious Diseases
Issue number2
StatePublished - 1998


  • Bacteremia
  • Necrotizing fasciitis
  • Staphylococcus aureus


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