Necrotizing Fasciitis After Cesarean Section: A Case Report.
Yushi Morishita, Takuya Shimomura, Aki Tetsuo et al.
✦ AI-curated · Sources linked
Case in brief
A 35-year-old primigravida developed fever, raised inflammatory markers, and uterine tenderness on postoperative day 6 after emergency cesarean delivery. Erythema and induration at the incision progressed despite antibiotics to blistering and skin necrosis. Imaging showed gas and a fluid collection at the wound. Emergency debridement confirmed necrotizing fasciitis extending from the epidermis to the rectus fascia; wound cultures grew methicillin-resistant Staphylococcus aureus. She received intravenous meropenem and vancomycin, followed by hyperbaric oxygen and negative-pressure wound therapy, then delayed closure. She recovered and was discharged on postoperative day 51.
What made this case unusual
The infection progressed from apparent postoperative uterine infection to necrotizing fasciitis at the cesarean incision, with gas on imaging and MRSA isolated from the wound.
Diagnostic / clinical pearl
Consider necrotizing fasciitis when a cesarean wound infection worsens despite standard antibiotic therapy, particularly if skin changes progress or imaging shows gas.