FATAL MYOFASCIAL NECROSIS DUE TO IMIPENEM-RESISTANT AEROMONAS-HYDROPHILA

We report the case of a fatal myofascial necrosis caused by an imipene m-resistant Aeromonas hydrophila in a patient with a history of aplast ic anemia. He presented with fever and left thigh tenderness. The CT s can was consistent with cellulitis and, after cultures were obtained, empirical treatment with imipenem and amikacin was started. Two days l ater, necrotic bullae appeared on his thigh, and cultures showed Aerom onas hydrophila which was imipenem-resistant, Although surgical debrid ement was performed and ciprofloxacin was initiated, the patient died.