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KMID : 0361120090230020169
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Korean Journal of Transplantation
2009 Volume.23 No. 2 p.169 ~ p.171
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Necrotizing Fasciitis following Liver Transplantation
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Kim Joo-Dong
Han Young-Seok
Choi Dong-Lak
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Abstract
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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.
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KEYWORD
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Fasciitis, Necrosis, Aspergillus, Liver transplantation
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