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Nekrotisierende Fasziitis durch Acinetobacter baumannii

Ein Fallbericht

Necrotizing fasciitis caused by Acinetobacter baumannii

A case report

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Zusammenfassung

Es wird über einen 42-jährigen Patienten mit einer nekrotisierenden Fasziitis am rechten Bein berichtet. In mehreren tiefen Wundabstrichen gelang der Nachweis eines multiresistenten Acinetobacter-baumanii-Stammes. Die Therapie mit Imipenem und Tobramycin sowie ausgedehnte Nekrektomien führten zu einer langsamen Besserung der Symptomatik. Acinetobacter baumannii kommt zunehmend Bedeutung als Erreger nosokomialer Infektionen, insbesondere auf Intensivstationen, zu.

Abstract

A 42-year-old man developed necrotizing fasciitis on the right leg. A multidrug-resistant Acinetobacter baumannii was cultivated from the deep wound. Following therapy with imipenem and tobramycin as well as extensive debridement, the lesions improved slowly. A. baumannii is today an important cause of nosocomial infections, especially in intensive care units.

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Authors and Affiliations

  1. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Leipzig A.ö.R., Philipp-Rosenthal-Str. 23, 04103, Leipzig, Deutschland

    J.A. Wagner, R. Renner, J. Simon & R. Treudler

  2. Laboratorium für medizinische Mikrobiologie, Mölbis, Deutschland

    P. Nenoff

  3. Institut für Medizinische Diagnostik, Frankfurt (Oder), Deutschland

    W. Handrick

Authors
  1. J.A. Wagner
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  2. P. Nenoff
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  3. W. Handrick
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  4. R. Renner
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  5. J. Simon
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  6. R. Treudler
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Correspondence to J.A. Wagner.

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Wagner, J., Nenoff, P., Handrick, W. et al. Nekrotisierende Fasziitis durch Acinetobacter baumannii . Hautarzt 62, 128–130 (2011). https://doi.org/10.1007/s00105-010-1962-3

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  • DOI: https://doi.org/10.1007/s00105-010-1962-3

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