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 journalArticlepeer-review

11 Scopus citations


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 (US)
Pages (from-to)344-347
Number of pages4
JournalPediatric Transplantation
Issue number4
StatePublished - Aug 2002
Externally publishedYes


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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation


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