A patient with periorbital necrotizing fasciitis by Klebsiella pneumoniae

Jinhwan Park, Seungheon Kim, Byungil Lee, Sehyun Baek

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)E245-E247
    JournalJournal of Craniofacial Surgery
    Volume30
    Issue number3
    DOIs
    Publication statusPublished - 2019 May

    Keywords

    • Klebsiella pneumoniae
    • Necrotizing fasciitis
    • Periorbital

    ASJC Scopus subject areas

    • Surgery
    • Otorhinolaryngology

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