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J Med Microbiol 58 (2009), 1519-1521; DOI: 10.1099/jmm.0.011064-0
© 2009 Society for General Microbiology
ISSN 0022-2615

Monomicrobial necrotizing fasciitis in a white male caused by hypermucoviscous Klebsiella pneumoniae

Gudjon L. Gunnarsson1, Pernille B. Brandt2, Dorte Gad1, Carsten Struve3 and Ulrik S. Justesen2

1 Department of Plastic Surgery, Odense University Hospital, Odense, Denmark

2 Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark

3 Department of Bacteriology, Mycology and Parasitology, Statens Serum Institut, Copenhagen, Denmark

Correspondence
Gudjon L. Gunnarsson
gudjonleifur{at}yahoo.com

Received April 16, 2009
Accepted August 2, 2009

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.






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