Necrotizing fasciitis in a renal transplant patient |
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Authors: | J A Majeski P R Rajagopalan C T Fitts G L Eddy G L Holtz W Turner R Henry H B Hearn |
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Institution: | Department of Transplant Surgery, Medical University of South Carolina, Charleston 29425-0777. |
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Abstract: | We have described a 28-year-old diabetic woman who had necrotizing fasciitis of the perineum three years after receiving a living related renal transplant. The diagnosis of necrotizing fasciitis was made early and she was referred to a tertiary care center where she received radical perineal debridement and aggressive medical and surgical follow-up. Necrotizing fasciitis in a transplant patient is rare; review of the literature shows few cases and no survivors. Our patient has returned to a normal life despite continuation of all immunosuppressive therapy throughout the entire hospital course. In addition, she had a good cosmetic result despite the large necrotic perineal infection. Her survival can be attributed to early diagnosis and referral, immediate and extensive debridement, and aggressive protein replacement. |
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