Klebsiella oxytoca necrotizing fasciitis after orthotopic heart transplant.

Autor: Greer-Bayramoglu R; Division of Plastic and Reconstructive Surgery, Schulich School of Medicine, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada., Matic DB, Kiaii B, Fortin AJ
Jazyk: angličtina
Zdroj: The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation [J Heart Lung Transplant] 2008 Nov; Vol. 27 (11), pp. 1265-7. Date of Electronic Publication: 2008 Oct 01.
DOI: 10.1016/j.healun.2008.07.028
Abstrakt: We report a case of Klebsiella necrotizing fasciitis after heart transplantation. The infection required debridement of discontinuous areas on three extremities as well as on the trunk. Klebsiella sp necrotizing fasciitis is a rare entity and has not been described previously in concert with heart transplantation. Klebsiella cases classically have skip lesions as described herein. Klebsiella oxytoca is a rare cause of necrotizing fasciitis in North America and presents with multifocal infection sites. This along with the patient's blunted immune response after organ transplantation necessitated a high index of suspicion for diagnosis and treatment.
Databáze: MEDLINE