Gunnarsson Gudjon L, Brandt Pernille B, Gad Dorte, Struve Carsten, Justesen Ulrik S
Department of Plastic Surgery, Odense University Hospital, Odense, Denmark.
Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
J Med Microbiol. 2009 Nov;58(Pt 11):1519-1521. doi: 10.1099/jmm.0.011064-0. Epub 2009 Aug 6.
We report a case of monomicrobial necrotizing fasciitis caused by hypermucoviscous Klebsiella pneumoniae in an immunocompromised white male after travel to China. The K. pneumoniae isolate belonged to the K2 serotype, and carried the virulence factors RmpA and aerobactin. To the best of our knowledge this is the first report of necrotizing fasciitis caused by hypermucoviscous K. pneumoniae resembling the highly virulent K. pneumoniae isolates associated with liver abscess syndrome in Asia.
我们报告一例免疫功能低下的白人男性在前往中国后,由高黏液性肺炎克雷伯菌引起的单微生物坏死性筋膜炎病例。该肺炎克雷伯菌分离株属于K2血清型,并携带毒力因子RmpA和气杆菌素。据我们所知,这是首例由高黏液性肺炎克雷伯菌引起的坏死性筋膜炎报告,该菌类似于亚洲与肝脓肿综合征相关的高毒力肺炎克雷伯菌分离株。