Klebsiella oxytoca necrotizing fasciitis after orthotopic heart transplant.

Abstract

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.

• Authors: Rebecca Greer-Bayramoglu, Damir B Matic, Bob Kiaii, Amanda J Fortin
• Journal: The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation (J Heart Lung Transplant) Vol. 27 Issue 11 Pg. 1265-7 (Nov 2008) ISSN: 1557-3117 [Electronic] United States
• PMID: 18971102 (Publication Type: Case Reports, Journal Article)

Chemical References

• ABO Blood-Group System

Topics

• ABO Blood-Group System
• Adult
• Cardiomyopathies (surgery)
• Fasciitis, Necrotizing (diagnosis, pathology, surgery)
• Heart Transplantation (adverse effects)
• Hemochromatosis (surgery)
• Humans
• Klebsiella Infections (diagnosis, pathology, surgery)
• Klebsiella oxytoca
• Male
• Postoperative Complications (microbiology)
• Skin Transplantation
• Tissue Donors
• Treatment Outcome