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This infection can present as either type 1 infection caused by a mixed microflora (\n                    <jats:italic toggle=\"yes\">Streptococci<\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">Enterobacteriacae<\/jats:italic>\n                    ,\n                    <jats:italic toggle=\"yes\">Bacteroides<\/jats:italic>\n                    sp., and\n                    <jats:italic toggle=\"yes\">Peptostreptococcus<\/jats:italic>\n                    sp.), most commonly developing in patients after surgery or in diabetic patients, or as type 2. The latter type is monomicrobial and, usually, caused by group A\n                    <jats:italic toggle=\"yes\">Streptococci<\/jats:italic>\n                    . Rarely, this type can be also caused by other pathogens, such as\n                    <jats:italic toggle=\"yes\">Vibrio vulnificus<\/jats:italic>\n                    .\n                    <jats:italic toggle=\"yes\">V vulnificus<\/jats:italic>\n                    is a small mobile Gram-negative rod capable of causing 3 types of infections in humans\u2014gastroenteritis, primary infection of the vascular bed, and wound infections. If infecting a wound,\n                    <jats:italic toggle=\"yes\">V vulnificus<\/jats:italic>\n                    can cause a life-threatening condition\u2014necrotizing fasciitis. We present a rare case of necrotizing fasciitis developing after an insect bite followed by exposure to the seawater. Rapid propagation of the infectious complication in the region of the right lower limb led to a serious consideration of the necessity of amputation. Due to the clearly demarcated necroses and secondary skin and soft tissue infection caused by a multiresistant strain of\n                    <jats:italic toggle=\"yes\">Acinetobacter baumannii<\/jats:italic>\n                    , we, however, resorted to the use of selective chemical necrectomy using 40% benzoic acid\u2014a unique application in this kind of condition. The chemical necrectomy was successful, relatively gentle and thanks to its selectivity, vital parts of the limb remained preserved and could have been subsequently salvaged at minimum blood loss. Moreover, the antimicrobial effect of benzoic acid led to rapid decolonization of the necrosis and wound bed preparation, which allowed us to perform defect closure using split-thickness skin grafts. The patient subsequently healed without further complications and returned to normal life.\n                  <\/jats:p>","DOI":"10.1177\/15347346211004305","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T18:06:53Z","timestamp":1618510013000},"page":"200-207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Vibrio vulnificus<\/i>\n                    -Induced Necrotizing Fasciitis Complicated by Multidrug-Resistant\n                    <i>Acinetobacter baumannii<\/i>\n                    Infection: Efficacy of Chemical Necrectomy Using 40% Benzoic Acid"],"prefix":"10.1177","volume":"22","author":[{"given":"Bretislav","family":"Lipov\u00fd","sequence":"first","affiliation":[{"name":"University Hospital Brno, Masaryk University, Jihomoravsk\u00fd, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radomir","family":"Mager","sequence":"additional","affiliation":[{"name":"University Hospital Brno, Masaryk University, Jihomoravsk\u00fd, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filip","family":"Ra\u0161ka","sequence":"additional","affiliation":[{"name":"University Hospital Brno, Masaryk University, Jihomoravsk\u00fd, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marketa","family":"Hanslianov\u00e1","sequence":"additional","affiliation":[{"name":"University Hospital Brno"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josef","family":"Bla\u017eek","sequence":"additional","affiliation":[{"name":"Kyjov Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hana","family":"K\u0159eme\u010dkov\u00e1","sequence":"additional","affiliation":[{"name":"Kyjov Hospital, Jihomoravsk\u00fd, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Such\u00e1nek","sequence":"additional","affiliation":[{"name":"University Hospital Brno, Masaryk University, Jihomoravsk\u00fd, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5242-3756","authenticated-orcid":false,"given":"Martin","family":"Hlad\u00edk","sequence":"additional","affiliation":[{"name":"University Hospital Brno, Masaryk University, Jihomoravsk\u00fd, Czech Republic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1286-4579(00)00270-7"},{"issue":"4","key":"e_1_3_2_3_2","first-page":"539","article-title":"Vibrio vulnificus infection: diagnosis and treatment","volume":"76","author":"Bross MH","year":"2007","unstructured":"Bross MH, Soch K, Morales R, Mitchell RB. 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