title: Monomicrobial necrotizing fasciitis in a white male caused by hypermucoviscous Klebsiella pneumoniae.
abstract: We report a case of monomicrobial necrotizing fasciitis caused by hypermucoviscous Klebsiella pneumoniae in an immunocompromised white male after travel to China. The K. pneumoniae isolate belonged to the K2 serotype, and carried the virulence factors RmpA and aerobactin. To the best of our knowledge this is the first report of necrotizing fasciitis caused by hypermucoviscous K. pneumoniae resembling the highly virulent K. pneumoniae isolates associated with liver abscess syndrome in Asia.
authors: Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
authors: Gudjon L
authors: GL
authors: Gunnarsson
authors: Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
authors: Pernille B
authors: PB
authors: Brandt
authors: Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
authors: Dorte
authors: D
authors: Gad
authors: Department of Bacteriology, Mycology and Parasitology, Statens Serum Institut, Copenhagen, Denmark.
authors: Carsten
authors: C
authors: Struve
authors: Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
authors: Ulrik S
authors: US
authors: Justesen
mesh_terms: D000368:Aged; D001426:Bacterial Proteins / Q000235:genetics; D003718:Denmark; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000503:physiopathology; D006801:Humans; D006877:Hydroxamic Acids / Q000378:metabolism; D007710:Klebsiella Infections / Q000382:microbiology* / Q000503:physiopathology; D007711:Klebsiella pneumoniae / Q000145:classification / Q000235:genetics / Q000302:isolation & purification* / Q000472:pathogenicity; D008297:Male; D016133:Polymerase Chain Reaction / Q000379:methods; D012703:Serotyping
chemical_list: D001426:Bacterial Proteins; D006877:Hydroxamic Acids; C512267:RmpA protein, Klebsiella pneumoniae; C031819:aerobactin