Table 4

Pathogens associated with development of pneumonia in patients with necrotizing fasciitis

Case NoDays until onset pneumonia (days)Necrotizing fasciitis-associated microorganism foundPneumonia-associated isolated organismAntibiotic treatment given for necrotizing fasciitis
12GASYeastBenzylpenicillin, clindamycin
23GAS Candida albicans Benzylpenicillin, clindamycin
36GASNo cultures, diagnosis based on chest X-rayMeropenem
46GAS Aspergillus fumigatus Benzylpenicillin, clindamycin, gentamicin
57GAS Enterobacter cloacae Benzylpenicillin, clindamycin
610GAS Enterobacter cloacae complex, Stenotrophomonas maltophilia Benzylpenicillin, clindamycin
7610GAS Klebsiella oxytoca, Escherichia coli Cefuroxime
811GAS Candida albicans, Pseudomonas aeruginosa, Klebsiella oxytoca Benzylpenicillin, clindamycin
914GAS Proteus mirabilis, Candida albicans Benzylpenicillin, clindamycin, gentamicin
1015GAS, Escherichia coli Pseudomonas aeruginosa Cefuroxime, clindamycin, gentamicin, metronidazole
1121GAS Pseudomonas aeruginosa, Candida albicans Benzylpenicillin, clindamycin, gentamicin
1226GAS Klebsiella oxytoca, Serratia marcescens, Streptococci Benzylpenicillin, clindamycin, gentamicin
137 Streptococcus pneumoniae,
Staphylococcus aureus
Pseudomonas aeruginosa Benzylpenicillin, clindamycin, gentamicin
1426GGS, Staphylococcus aureus No cultures, diagnosis based on chest X-rayBenzylpenicillin, clindamycin, gentamicin
1540 Pseudomonas aeruginosa Staphylococcus aureus Piperacilline, tazobactam
1660 Morganella morganii No cultures, diagnosis based on clinical presentationMeropenem
  • GAS, Group A Streptococcus; GGS, Group G Streptococcus.