title: Klebsiella oxytoca necrotizing fasciitis after orthotopic heart transplant.
abstract: 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.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Schulich School of Medicine, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Greer-Bayramoglu
authors.forename: Damir B
authors.initials: DB
authors.lastname: Matic
authors.forename: Bob
authors.initials: B
authors.lastname: Kiaii
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Fortin
mesh_terms: D000017:ABO Blood-Group System; D000328:Adult; D009202:Cardiomyopathies / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016027:Heart Transplantation / Q000009:adverse effects*; D006432:Hemochromatosis / Q000601:surgery; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D041121:Klebsiella oxytoca; D008297:Male; D011183:Postoperative Complications / Q000382:microbiology*; D016038:Skin Transplantation; D014019:Tissue Donors; D016896:Treatment Outcome
chemical_list: D000017:ABO Blood-Group System