Klebsiella oxytoca necrotizing fasciitis after orthotopic heart transplant.
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.
Greer-Bayramoglu
Rebecca
R
Division of Plastic and Reconstructive Surgery, Schulich School of Medicine, University of Western Ontario, London Health Sciences Centre, London, Ontario, Canada.
Matic
Damir B
DB
Kiaii
Bob
B
Fortin
Amanda J
AJ
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
D000017:ABO Blood-Group System