Necrotizing Fasciitis following Liver Transplantation.
10.4285/jkstn.2009.23.2.169
- Author:
Joo Dong KIM
1
;
Young Seok HAN
;
Dong Lak CHOI
Author Information
1. Department of Surgery, Daegu Catholic Univerty College of Medicine, Daegu, Korea. hyskhk@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Fasciitis;
Necrosis;
Aspergillus;
Liver transplantation
- MeSH:
Aspergillus;
Debridement;
Fasciitis;
Fasciitis, Necrotizing;
Hepatic Encephalopathy;
Humans;
Immunosuppression;
Liver;
Liver Transplantation;
Necrosis;
Organ Transplantation;
Pressure Ulcer;
Surgical Wound Infection;
Transplants
- From:The Journal of the Korean Society for Transplantation
2009;23(2):169-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Necrotizing fasciitis is a rapidly spreading subcutaneous infection. It can occur in patients after solid organ transplantation. But, the reports for necrotizing fasciitis after liver transplantation are very unusual. We report 2 patients with necrotizing fasciitis caused by bacterial and Aspergillus species infection. Their pre-transplantation condition was very poor due to hepatic encephalopathy, pressure sore, and admission for several months. Patients had a fulminant course for early potent immunosuppression period, despite of aggressive surgical debridement, withdrawal of immunosuppression, and adequate antibacterial and antifungal therapy. Therefore, necrotizing fasciitis has to be recognized as a potential complication after liver transplantation and Aspergillus species has to be added to the list of potential pathogens of surgical wound infections, especially in the setting of liver transplantation.
