Objective:To alert emergency veterinarians of a life-threatening soft tissue infection, necrotizing fasciitis (NF) that mimics non life-threatening cellulitis. In this report, the rapid clinical progression, systemic effects produced by NF, and its successful treatment in a dog is described.
Case Summary:A 2-year-old, male, castrated Doberman Pinscher was presented for lameness. Clinical and laboratory findings suggested sepsis. Rapid progression of the infection, as well as surgical and histopathological findings were characteristic for necrotizing fasciitis of a pelvic limb caused by β-hemolytic streptococcus infection. Aggressive supportive care included intravascular fluid therapy, intravenous antibiotics, plasma transfusions, nutritional support, as well as repeated surgical debridement and drainage. Mid-femoral limb amputation was required to halt the progression of the necrotizing fasciitis.
New Information Provided:This is the first detailed description of successful treatment of necrotizing fasciitis caused by β-Hemolytic streptococcus in the dog.