title: Necrotizing fasciitis in patients who underwent renal transplantation.
abstract: A 48-year-old man receiving renal transplantation was admitted due to bacterial pneumonia. Unfortunately, he developed septic shock due to Escherichia coli-related necrotizing fasciitis (NF). To date, there have only been 11 such cases reported in the literature and this is the first case caused by E coli. An analysis of all 12 cases showed 83% of patients had the infection in the extremities, 27.3% of pathogens was Streptococcus pyogenes, 50% of patients had shock, but the mortality rate (16.7%) was no greater than that seen in non-renal transplant patients with NF. The elderly had higher mortality (P = .085) and patients taking mycophenoic acid had a higher risk of death (P = .039).
authors: Department of Medicine, Division of Nephrology, Taichung Veterans General Hospital and Department of Life Science, Tunghai University, Taichung, Taiwan. Electronic address: s881056@ym.edu.tw.
authors: S-F
authors: SF
authors: Tsai
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000209:etiology; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents