Necrotizing Fasciitis Associated with Klebsiella pneumoniae Liver Abscess

Abstract

SIR—We read with interest the article by Dylewski and Dylewski [1] that described an Indian patient with necrotizing fasciitis associated with Klebsiella pneumoniae liver abscess. Metastatic soft-tissue infections in conjunction with klebsiella liver abscess are rare [2—4]. However, the case reported by Dylewski and Dylewski is not the first reported case of necrotizing fasciitis in association with klebsiella liver abscess. In 1996, Chou and Kou [4] described a Taiwanese patient with K. pneumoniae liver abscess in conjunction with endophthalmitis and necrotizing fasciitis. Here we describe two other patients with similar manifestations.