A Patient With Periorbital Necrotizing Fasciitis by Klebsiella pneumoniae

Jinhwan Park, Seungheon Kim, Byung-Il Lee, Se Hyun Baek

Research output: Contribution to journalArticle

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 β-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
JournalThe Journal of craniofacial surgery
Volume30
Issue number3
DOIs
Publication statusPublished - 2019 May 1

Fingerprint

Necrotizing Fasciitis
Klebsiella pneumoniae
Rectus Abdominis
Brain Abscess
Myocutaneous Flap
Rare Diseases
Streptococcus
Causality
Ulcer
Liver Diseases
Pneumonia
Diabetes Mellitus
Chronic Disease
Inflammation
Biopsy
Injections
Mortality
Wounds and Injuries
Infection
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

A Patient With Periorbital Necrotizing Fasciitis by Klebsiella pneumoniae. / Park, Jinhwan; Kim, Seungheon; Lee, Byung-Il; Baek, Se Hyun.

In: The Journal of craniofacial surgery, Vol. 30, No. 3, 01.05.2019, p. e245-e247.

Research output: Contribution to journalArticle

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