Klebsiella oxytoca Necrotizing Fasciitis After Orthotopic Heart Transplant

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 t...

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Bibliographic Details
Published inThe Journal of heart and lung transplantation Vol. 27; no. 11; pp. 1265 - 1267
Main Authors Greer-Bayramoglu, Rebecca, MD, Matic, Damir B., MD, MSc, Kiaii, Bob, MD, Fortin, Amanda J., MD, MSc
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.11.2008
Elsevier Science
Subjects
ABO Blood-Group System
Adult
Biological and medical sciences
Cardiology. Vascular system
Cardiomyopathies - surgery
Fasciitis, Necrotizing - diagnosis
Fasciitis, Necrotizing - pathology
Fasciitis, Necrotizing - surgery
Heart Transplantation - adverse effects
Hemochromatosis - surgery
Humans
Klebsiella Infections - diagnosis
Klebsiella Infections - pathology
Klebsiella Infections - surgery
Klebsiella oxytoca
Male
Medical sciences
Postoperative Complications - microbiology
Skin Transplantation
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Tissue Donors
Treatment Outcome
Heart
Connective tissue disease
Skin disease
Transplantation
Homotransplantation
Phlebology
Infection
Klebsiella oxytoca
Treatment
Surgery
Necrotizing fasciitis
Bacteriosis
Bacteria
Graft
Circulatory system
Cardiology
Enterobacteriaceae
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:1053-2498
1557-3117
DOI:10.1016/j.healun.2008.07.028