{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:45:15Z","timestamp":1793231115726,"version":"4.5.0"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Necrotizing fasciitis (NF) is a rare life-threatening soft tissue infection, with only few obstetrical cases reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report a case of a previously healthy female who developed polymicrobial NF on day 4 post an uncomplicated primary cesarean delivery, who presented initially with fever, chills, and abdominal pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The patient underwent a life-saving debridement of surgical wound with subsequent positive wound culture with polymicrobial growth and pathology suggestive of necrotizing fasciitis. Patient recovered in the intensive care unit with smooth postoperative course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early diagnosis and presumed aggressive intervention with early surgical debridement and supportive therapy were key factors favoring the good prognosis seen in this patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110326","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T21:46:20Z","timestamp":1726868780000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Polymicrobial necrotizing fasciitis after a primary cesarean section in a low-risk patient: A case report and literature review"],"prefix":"10.1097","volume":"124","author":[{"given":"Nathalie","family":"Chamseddine","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan","family":"Aghar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeinab","family":"Haidar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghadir","family":"Aoud","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghina","family":"Ghazeeri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-16-20260421","first-page":"2","article-title":"Necrotizing fasciitis: an update on epidemiology, diagnostic methods, and treatment","volume":"37","author":"Allaw,","year":"2023","journal-title":"Curr. Opin. Infect. Dis."},{"issue":"3","key":"R2-16-20260421","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1097\/TA.0b013e318232a6b3","article-title":"Necrotizing fasciitis: classification, diagnosis, and management","volume":"72","author":"Lancerotto,","year":"2012","journal-title":"J. Trauma Acute Care Surg."},{"key":"R3-16-20260421","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.jpra.2023.10.004","article-title":"Candida albicans necrotizing fasciitis following cosmetic tourism: a case report","volume":"38","author":"Gilardi,","year":"2023","journal-title":"JPRAS Open"},{"issue":"8","key":"R4-16-20260421","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1067\/j.cpsurg.2014.06.001","article-title":"Necrotizing soft tissue infections: review and current concepts in treatment, systems of care, and outcomes","volume":"51","author":"Hakkarainen,","year":"2014","journal-title":"Curr. Probl. Surg."},{"issue":"9","key":"R5-16-20260421","doi-asserted-by":"crossref","first-page":"S174","DOI":"10.29271\/jcpsp.2018.09.S174","article-title":"Invasive community acquired methicillin-resistant staphylococcal aureus (CA-MRSA) infections in children","volume":"28","author":"Khalid,","year":"2018","journal-title":"J. Coll. Physicians Surg. Pak."},{"key":"R6-16-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical Case Report (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"43","key":"R7-16-20260421","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000031231","article-title":"Delayed diagnosis and management of necrotizing fasciitis of the left lower leg: a case report","volume":"101","author":"Zhang,","year":"2022","journal-title":"Medicine (Baltimore)"},{"key":"R8-16-20260421","article-title":"Fulminating postcaesarean necrotising fasciitis: a rare and lethal condition successfully managed in a resource-disadvantaged setting in sub-Saharan Africa","volume":"2017","author":"Sama,","year":"2017","journal-title":"Case Rep. Obstet. Gynecol."},{"issue":"4","key":"R9-16-20260421","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.tjog.2019.05.027","article-title":"Necrotizing fasciitis following a preterm caesarean delivery","volume":"58","author":"Liu,","year":"2019","journal-title":"Taiwan. J. Obstet. Gynecol."},{"issue":"1","key":"R10-16-20260421","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1155\/S1064744993000055","article-title":"Necrotizing fasciitis: a review of management guidelines in a large obstetrics and gynecology teaching hospital","volume":"1","author":"Thompson,","year":"1993","journal-title":"Infect. Dis. Obstet. Gynecol."},{"key":"R11-16-20260421","article-title":"Necrotizing fasciitis complicating pregnancy: a case report and literature review","volume":"2014","author":"Nikolaou,","year":"2014","journal-title":"Case Rep. Obstet. Gynecol."},{"issue":"2","key":"R12-16-20260421","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1067\/mob.2002.126000","article-title":"Necrotizing fasciitis in gynecologic and obstetric patients: a surgical emergency","volume":"187","author":"Gallup,","year":"2002","journal-title":"Am. J. Obstet. 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