Abstract
A 66-year-old man with hepatitis B virus-related liver cirrhosis was admitted to our hospital because of fever and vomiting. We diagnosed a cholecystitis and treated with antibiotics. He developed bleeding lesions and bullae on his bilateral lower extremities one day after admission. Gram-negative rods were detected from the bulla. CT showed an air density in the muscle of lower extremity, leading to a diagnosis of necrotic fascitis, and we performed amputations of the bilateral lower extremities. In spite of intensive care, he died of sepsis one day after operation. Aeromonas hydrophila was detected in the bulla, blood and fascia afterward. A. hydrophila infection is known to become very serious in immuno-compromised hosts. We here report a fatal case of A. hydrophila infection that occurred in a patient with decompensated liver cirrhosis.
