Klebsiella pneumoniae cervical necrotizing fasciitis originating as an abscess.

Abstract:

:Cervical necrotizing fasciitis is a rapidly progressive and devastating infection that is usually caused by a polymicrobial infection including group A Streptococcus and anaerobes. We present a case of a newly diagnosed diabetic man who underwent transoral drainage of a Klebsiella pneumoniae paraglottic abscess, which, despite culture-directed antibiotics, progressed to cervical necrotizing fasciitis with descending mediastinitis. The patient required 12 surgical debridements and sternotomy, but survived and was discharged on hospital day 40. To our knowledge, this is the first case of cervical necrotizing fasciitis caused by a K pneumoniae infection in the United States. The significance of this unusual presentation is discussed.

journal_name

Am J Otolaryngol

authors

Thomas AJ,Mong S,Golub JS,Meyer TK

doi

10.1016/j.amjoto.2012.05.009

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

764-6

issue

6

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(12)00119-6

journal_volume

33

pub_type

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