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  • Title: Klebsiella oxytoca necrotizing fasciitis after orthotopic heart transplant.
    Author: Greer-Bayramoglu R, Matic DB, Kiaii B, Fortin AJ.
    Journal: J Heart Lung Transplant; 2008 Nov; 27(11):1265-7. PubMed ID: 18971102.
    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.
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