Next Article in Journal
Ischemic Bowel Disease Due to Superior Mesenteric Artery Occlusion: A Case Report
Previous Article in Journal
Management and Prevention of Oral Self-Injuries in Lesch–Nyhan Syndrome
Article Menu

Export Article

Open AccessCase Report

Bacillus cereus Induced Necrotizing Fasciitis Mimicking Gastroenteritis: A Case Report

Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan
Author to whom correspondence should be addressed.
Received: 26 March 2018 / Revised: 5 April 2018 / Accepted: 6 April 2018 / Published: 9 April 2018
PDF [23630 KB, uploaded 3 May 2018]


Necrotizing fasciitis is a rapidly spreading inflammation of the soft tissue involving the fascia and the subcutaneous tissue. Early and aggressive surgical intervention accompanied with appropriate antibiotics are the key to improve clinical outcome in patients with necrotizing fasciitis. Here, we present the case of a 46-year-old male who presented with acute onset progressive watery diarrhea and fever for one day. The abdominal ultrasound and computed tomography revealed diffuse gallbladder wall thickening with double layer sign, air density at right hepatic lobe and a small bowel edema. An intra-abdominal infection was initially suspected. However, a progressive erythematous change and bullae was found on the left thigh and lower abdomen. Progressed necrotizing fasciitis was suspected. After administration of broad antibiotics and emergency surgical intervention, the septic shock was reversed. Finally, the blood and wound culture reports revealed Bacillus cereus growth. This paper describes the clinical features of necrotizing fasciitis and highlights the Bacillus cereus-induced necrotizing fasciitis for physicians in order to promote timely intervention for septic shock. View Full-Text
Keywords: Bacillus cereus; necrotizing fasciitis; gastroenteritis; septic shock Bacillus cereus; necrotizing fasciitis; gastroenteritis; septic shock

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

Share & Cite This Article

MDPI and ACS Style

Lee, L.-C.; Chen, Y.-L.; Yiang, G.-T.; Chen, T.-Y.; Wu, M.-Y.; Ni, B.-Y.; Lin, C.-H. Bacillus cereus Induced Necrotizing Fasciitis Mimicking Gastroenteritis: A Case Report. Reports 2018, 1, 9.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Metrics

Article Access Statistics



[Return to top]
Reports EISSN 2571-841X Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top