Monomicrobial necrotizing fasciitis in a white male caused by hypermucoviscous Klebsiella pneumoniae.
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.
Gunnarsson
Gudjon L
GL
Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
Brandt
Pernille B
PB
Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
Gad
Dorte
D
Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
Struve
Carsten
C
Department of Bacteriology, Mycology and Parasitology, Statens Serum Institut, Copenhagen, Denmark.
Justesen
Ulrik S
US
Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
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
D001426:Bacterial Proteins; D006877:Hydroxamic Acids; C512267:RmpA protein, Klebsiella pneumoniae; C031819:aerobactin