title: Klebsiella pneumoniae necrotizing fasciitis in a Latin American male.
abstract: Necrotizing fasciitis, caused by Klebsiella pneumoniae, is a rare and life-threatening bacterial infection. Most documented cases have been reported from Asia, particularly associated with diabetes mellitus. The prevalence of this infection in the USA is rare, especially among persons of non-Asian descent and those without travel to Asia. We report a case of disseminated necrotizing fasciitis, caused by K. pneumoniae, in a Latin American male with diabetes mellitus. Given our review of the literature, this is the only case report, to our knowledge, of a Latin American patient with Klebsiella necrotizing fasciitis in the USA. This case may reflect the geographical spread and emergence of K. pneumoniae infection in the USA. Clinicians need to be aware of the possible relationship between this organism and necrotizing fasciitis in persons of Latin American descent with diabetes mellitus.
authors: Department of Internal Medicine, Riverside County Regional Medical Center, Moreno Valley, California, USA.
authors: Jon
authors: J
authors: Persichino
authors: Department of Internal Medicine, Loma Linda University Medical Center, Loma Linda, California, USA.
authors: Richard
authors: R
authors: Tran
authors: Infectious Disease Section, Riverside County Regional Medical Center, Moreno Valley, California, USA.
authors: Made
authors: M
authors: Sutjita
authors: Department of Internal Medicine, Riverside County Regional Medical Center, Moreno Valley, California, USA.
authors: Daniel
authors: D
authors: Kim
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D024881:Drug Resistance, Bacterial; D019115:Fasciitis, Necrotizing / Q000453:epidemiology / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007710:Klebsiella Infections / Q000453:epidemiology / Q000382:microbiology* / Q000473:pathology; D007711:Klebsiella pneumoniae / Q000187:drug effects / Q000302:isolation & purification*; D007843:Latin America / Q000453:epidemiology; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents