A Patient With Periorbital Necrotizing Fasciitis by Klebsiella pneumoniae
- Authors
- Park, Jinhwan; Kim, Seungheon; Lee, Byungil; Baek, Sehyun
- Issue Date
- 5월-2019
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- Klebsiella pneumoniae; necrotizing fasciitis; periorbital
- Citation
- JOURNAL OF CRANIOFACIAL SURGERY, v.30, no.3, pp.E245 - E247
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF CRANIOFACIAL SURGERY
- Volume
- 30
- Number
- 3
- Start Page
- E245
- End Page
- E247
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/65915
- DOI
- 10.1097/SCS.0000000000005199
- ISSN
- 1049-2275
- Abstract
- Periorbital necrotizing fasciitis (NF) is a very rare disease with a mortality rate of 10% to 20%, requiring rapid diagnosis and active treatment. The most common causative organism is Group A b-hemolytic Streptococcus, and trauma, operative incisions, pre-existing ulcers, or injection sites may be predisposing factors for periorbital NF. In this study, the subject, who had a medical history of diabetes mellitus and chronic liver disease, developed periorbital NF suddenly and without any specific triggering factors, and Klebsiella pneumoniae was identified in a necrotic tissue biopsy. Klebsiella pneumoniae has not been reported as a causative organism of periorbital NF. It is believed that latent infection with K pneumoniae, which caused a brain abscess in the patient 2 years prior, caused inflammation around the periorbit by hematogenous spread. The authors were able to manage the patient successfully by performing total exenteration and reconstructing the affected site using a transverse rectus abdominis myocutaneous flap procedure.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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