Successful Surgical Treatment of a Necrotizing Fasciitis due to Klebsiella Pneumonia Following Open Prostatectomy

Åžener Balas, Fatma Yıldırım, Mücait Ünal, Alper Gök and Emre Ä°nözü

Department of General Surgery, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Turkey
Department of Pulmonary and Critical Care Medicine, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Turkey Department of Urology, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Turkey
Department of Plastic and Reconstructive Surgery, Dışkapı Yıldırım Beyazıt Research and Education Hospital, Turkey

^*Correspondance to: Fatma Y?ld?r?m 

 PDF  Full Text DOI: 10.25107/2474-1647.1850

Abstract

We report a case of early NF associated with Klebsiella pneumoniae infection in a 61-yearold man who underwent to open prostatectomy 10 days ago. The patient presented with acute, painful, erythematous, and edematous skin lesions of his left flank. The patient underwent surgical exploration, and a diagnosis of necrotizing fasciitis was confirmed by pathological evidence of necrosis of the fascia and neutrophil infiltration in tissue biopsies. Cultures of fascial tissue biopsies and blood samples were positive for Klebsiella pneumoniae. Following extensive debridement, a VAC system was applied to the large open wound and successfully contributed to wound bed cleansing, which was followed by surgery for skin grafting.

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Cite the article

Balas ?, Y?ld?r?m F, �nal M, G�k A, ?n�z� E. Successful Surgical Treatment of a Necrotizing Fasciitis due to Klebsiella Pneumonia Following Open Prostatectomy. Clin Surg. 2018; 3: 1850.