InfectionPatient historyUnderlying conditionsPhysical examination findings
Group A Streptococcus speciesSkin abrasion, trauma, recent herpes zoster infection, human bite, intravenous drug abuseDiabetes, cancer, alcoholism, stasis dermatitisIntense erythema, edema, lymphadenopathy, hemorrhagic and necrotic bullae
Staphylococcus aureusSkin trauma, recent hospitalization or surgery, intravenous drug abuseObesity, diabetes, immunocompromising conditionFuruncles, local abscesses, diffuse macular erythroderma
PolymicrobialDiabetic foot ulcer, recent surgeryDiabetes, immunocompromising condition, vascular diseaseMoist gangrene with a foul odor
Pseudomonas speciesBacteremia, moist skin infection, severe burn, recent hospitalizationImmunocompromising conditionHemorrhagic and necrotic bullae
Vibrio vulnificusExposure to raw or undercooked seafood or seawaterLiver disease, immunocompromising conditionHemorrhagic and necrotic bullae, ecchymoses
Clostridium perfringensSevere trauma with wound contamination, recent surgery, intravenous drug abuseNonePale skin, edema, hemorrhagic and necrotic bullae, foul-smelling discharge, gas formation
Pasteurella multocidaCat or dog biteNoneErythema, edema, serosanguineous discharge, lymphadenitis, tenosynovitis
Aeromonas hydrophilaExposure to freshwater, skin abrasionUsually none; sometimes an immunocompromising conditionErythema, bullae, necrosis, possible gas formation