Necrotizing fasciitis following liver and small intestine transplantation

Shogo Kobayashi, Tomoaki Kato, Seigo Nishida, Efren Buttrago, Naveen Mittal, John Thompson, Andreas G. Tzakis

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Necrotizing fasciitis is a rare, subcutaneous infection. It can occur in patients after solid-organ transplantation. We herein report two patients who developed necrotizing fasciitis following combined liver and small intestine transplantation. The first patient experienced this infection 4 yr after transplantation and 1 yr after the closure of the ileostomy. The second patient suffered from necrotizing fasciitis 2 days after the transplant. Both cases were diagnosed on the physical findings, culture of subcutaneous lavage, and the computed tomography findings. The site of entrance of the organism was not clear in either case. Both patients had a fulminant course and died within 1 week from the onset, despite aggressive surgical intervention. Therefore, necrotizing fasciitis has to be recognized as a potential complication of intestinal transplantation.

Original languageEnglish
Pages (from-to)344-347
Number of pages4
JournalPediatric Transplantation
Volume6
Issue number4
DOIs
StatePublished - Aug 1 2002

Fingerprint

Necrotizing Fasciitis
Small Intestine
Transplantation
Liver
Ileostomy
Therapeutic Irrigation
Organ Transplantation
Infection
Tomography
Transplants

Keywords

  • Combined liver and small intestine transplantation
  • Necrotizing fasciitis
  • Pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

Cite this

Kobayashi, S., Kato, T., Nishida, S., Buttrago, E., Mittal, N., Thompson, J., & Tzakis, A. G. (2002). Necrotizing fasciitis following liver and small intestine transplantation. Pediatric Transplantation, 6(4), 344-347. https://doi.org/10.1034/j.1399-3046.2002.00210.x

Necrotizing fasciitis following liver and small intestine transplantation. / Kobayashi, Shogo; Kato, Tomoaki; Nishida, Seigo; Buttrago, Efren; Mittal, Naveen; Thompson, John; Tzakis, Andreas G.

In: Pediatric Transplantation, Vol. 6, No. 4, 01.08.2002, p. 344-347.

Research output: Contribution to journalArticle

Kobayashi, S, Kato, T, Nishida, S, Buttrago, E, Mittal, N, Thompson, J & Tzakis, AG 2002, 'Necrotizing fasciitis following liver and small intestine transplantation', Pediatric Transplantation, vol. 6, no. 4, pp. 344-347. https://doi.org/10.1034/j.1399-3046.2002.00210.x
Kobayashi S, Kato T, Nishida S, Buttrago E, Mittal N, Thompson J et al. Necrotizing fasciitis following liver and small intestine transplantation. Pediatric Transplantation. 2002 Aug 1;6(4):344-347. https://doi.org/10.1034/j.1399-3046.2002.00210.x
Kobayashi, Shogo ; Kato, Tomoaki ; Nishida, Seigo ; Buttrago, Efren ; Mittal, Naveen ; Thompson, John ; Tzakis, Andreas G. / Necrotizing fasciitis following liver and small intestine transplantation. In: Pediatric Transplantation. 2002 ; Vol. 6, No. 4. pp. 344-347.
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