Near-fatal Fellatio: A Case of Necrotizing Fasciitis after Oral Sex
James J. Douglas *
Division of Infectious Diseases, Cedars-Sinai Medical Center, California
Sherrill R. Brown
Division of Infectious Diseases, Cedars-Sinai Medical Center, California
Andrew Martowski
Department of Pathology, Cedars-Sinai Medical Center Cedars-Sinai, California
W. David Hardy
Division of Infectious Diseases, Cedars-Sinai Medical Center, California and Department of Medicine, David Geffen School of Medicine, UCLA, Los Angeles, California
*Author to whom correspondence should be addressed.
Abstract
A 35-year-old man was admitted to hospital 2 weeks after rough oral sex with Streptococcus pyogenes bacteremia, toxic shock syndrome and extensive necrotizing fasciitis of the abdominal and pelvic walls requiring debridement. His partner was diagnosed with strep throat shortly after their sexual encounter.
Keywords: Streptococcus pyogenes, necrotizing fasciitis, toxic shock syndrome, sexually transmitted disease