Eikenella Corrodens Causing Necrotizing Fasciitis after an Elective Inguinal Hernia Repair in an Adult: A Case Report and Literature Review

Abstract

We report an unusual case of necrotizing fasciitis in a 43-year-old man after elective inguinal hernia repair. The patient presented to the emergency department 9 days postoperatively with high fevers, tachycardia, and crepitus along his abdominal wall. He was treated with broad-spectrum antibiotics and underwent a diagnostic laparoscopy as well as a wide debridement of all necrotic tissue. Cultures grew out Eikenella corrodens, which, to our knowledge, has only been reported in one other case as a cause of necrotizing fasciitis. Patients can develop necrotizing fasciitis after elective, clean procedures and should be adequately resuscitated, undergo immediate surgical debridement, and receive antibiotics. Laparoscopy can be useful in determining if intraabdominal pathology is the cause of the infection and a wound vacuum-assisted device is a cost-effective way to decrease healing times.

Isolated duodenal injury presenting as Fournier's gangrene: A case report

“…Various cases of NF of the abdominal wall have also been reported after procedures like laparoscopic vaginal hysterectomy, colon perforation, and even after elective herniorrhaphy 5‐7 . Blunt injury of the duodenum is less common and more difficult to diagnose than penetrating duodenal injury, and it may occur in isolation or in association with other visceras like pancreas 8 .…”

Fasciitis Necroticans after Elective Hernia Inguinal Surgery

“…The occurrence of FN after surgery is rare, described in less than 0.5% [ 4 ]. A few case reports of FN after elective hernia inguinal repair are described, of which three are after Lichtenstein [ 5 , 6 ] and one after totally extraperitoneal approach [ 7 ]. The two patients presented in one year after another.…”

Early surgical debridement in the management of infectious scleritis after pterygium excision

“…It is unclear if these organisms represented the true infectious agents or contaminations from normal flora. E. corrodens , a gram-negative rod rarely recovered in soft tissue infections, was isolated from patient 6 [ 11 ].…”