{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:05:06Z","timestamp":1767650706748,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,5,7]]},"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:p>Necrotising fasciitis is a life-threatening condition characterised by inflammation, affecting the soft tissues, which spreads within a fascial plane. Skin changes can be delayed and can often go unnoticed. The condition arises from a bacterial infection, commonly being of polymicrobial aetiology. We describe an uncommon case of necrotising fasciitis caused by <jats:italic>Finegoldia magna<\/jats:italic>, an anaerobic coccus, in a 40-year-old patient with diabetes. <jats:italic>F. magna<\/jats:italic> is a Gram-positive anaerobic coccus, which was previously known as <jats:italic>Peptostreptococcus magnus<\/jats:italic>. The bacteria is found in the normal flora of the urogenital tract. The bacteria is associated with severe infections such as native valve endocarditis, paravalvular abscess around a bioprosthetic valve, purulent pericarditis complicated by mediastanitis, meningitis after pneumonia and necrotising pneumonia complicated by pyopneumothorax. There have been no cases in the literature describing necrotising fasciitis of the abdominal wall caused by <jats:italic>F. magna<\/jats:italic>.<\/jats:p>","DOI":"10.1136\/bcr-2020-235115","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T06:25:25Z","timestamp":1590647125000},"page":"e235115","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["<i>Finegoldia magna<\/i>: a rare cause of necrotising fasciitis"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8949-0154","authenticated-orcid":false,"given":"Ardit","family":"Begaj","sequence":"first","affiliation":[{"name":"General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ross C","family":"McLean","sequence":"additional","affiliation":[{"name":"General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pudhupalayam","family":"Bhaskar","sequence":"additional","affiliation":[{"name":"General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,5,27]]},"reference":[{"key":"2025082802565649000_13.5.e235115.1","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz338","article-title":"A rare case of multi-focal non-contiguous necrotizing soft tissue infections and literature review","volume":"2019","author":"Xu","year":"2019","journal-title":"J Surg Case Rep"},{"key":"2025082802565649000_13.5.e235115.2","doi-asserted-by":"crossref","DOI":"10.1186\/s12245-018-0183-x","article-title":"Necrotising fasciitis: a fatal case of sepsis and a diagnostic challenge - case report and review of literature","volume":"11","author":"Agarwal","year":"2018","journal-title":"Int J Emerg Med"},{"key":"2025082802565649000_13.5.e235115.3","unstructured":"SCCM . Surviving sepsis campaign (SSC). Available: https:\/\/www.sccm.org\/SurvivingSepsisCampaign\/Home"},{"key":"2025082802565649000_13.5.e235115.4","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.11.1.81"},{"key":"2025082802565649000_13.5.e235115.5","unstructured":"Ezaki T , Oyaizu H , Yabuuchi E . The anaerobic gram-positive cocci. In: Balows A , Tr\u00fcper HG , Dowrkin M , et al , eds. The prokaryotes. 2nd ed. Berlin, Germany: Springer-Verlag, 1992: 1879\u201392."},{"key":"2025082802565649000_13.5.e235115.6","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1093\/ajcn\/27.12.1456","article-title":"Effect of diet on human fecal flora: comparison of Japanese and American diets","volume":"27","author":"Finegold","year":"1974","journal-title":"Am J Clin Nutr"},{"key":"2025082802565649000_13.5.e235115.7","doi-asserted-by":"publisher","DOI":"10.1099\/00222615-41-1-36"},{"key":"2025082802565649000_13.5.e235115.8","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198503000-00035"},{"key":"2025082802565649000_13.5.e235115.9","doi-asserted-by":"publisher","DOI":"10.1111\/1574-6976.12005"},{"key":"2025082802565649000_13.5.e235115.10","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.M109.025957"},{"key":"2025082802565649000_13.5.e235115.11","first-page":"359","article-title":"A case of necrotizing fasciitis caused by Finegoldia magna in a patient with type 2 diabetes mellitus","volume":"26","author":"Scapaticci","year":"2018","journal-title":"Infez Med"},{"key":"2025082802565649000_13.5.e235115.12","unstructured":"Sharma S , Sharma PK . LRINEC score: does it support the diagnosis? Orthop Proc, 2018. https:\/\/online.boneandjoint.org.uk\/doi\/abs\/"},{"key":"2025082802565649000_13.5.e235115.13","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0227748","article-title":"Prospective validation of the laboratory risk indicator for necrotizing fasciitis (LRINEC) score for necrotizing fasciitis of the extremities","volume":"15","author":"Hsiao","year":"2020","journal-title":"PLoS One"},{"key":"2025082802565649000_13.5.e235115.14","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20180093","article-title":"Necrotizing fasciitis of the lower extremity: imaging pearls and pitfalls","volume":"91","author":"Tso","year":"2018","journal-title":"Br J Radiol"},{"key":"2025082802565649000_13.5.e235115.15","doi-asserted-by":"publisher","DOI":"10.1148\/rg.276075033"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:57:07Z","timestamp":1756375027000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":15,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,5,27]]},"published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1136\/bcr-2020-235115"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235115","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}