Abstract
Necrotizing fasciitis is a rare post-operative complication of Hirschsprung's disease. Very recently the only previous case of necrotizing fasciitis following a Soave procedure was reported with the etiologic agent being Pseudomonas aeruginosa. Here we are reporting the second case of necrotizing fasciitis following a Soave procedure caused by an extended spectrum beta lactamase harboring strain of Escherichia coli which is a rare pathogen in type II necrotizing fasciitis.
•Necrotizing fasciitis is a potential surgical complication after Hirschsprung disease.•Consider broad spectrum antibiotics to treat post-operative infectious complications.•Necrotoxin harboring strains, ESBL and necrotizing fasciitis’s correlation is still lacking.