Klebsiella pneumoniae‐infected hemorrhagic ulcerative infantile hemangioma: A rare complication

Author:

Abtahi‐Naeini Bahareh12ORCID,Pourmahdi‐Boroujeni Mahsa3ORCID,Alipour Narjes4ORCID,Sattari Hossein5ORCID,Pourmoghaddas Zahra67ORCID

Affiliation:

1. Pediatric Dermatology Division of Department of Pediatrics, Imam Hossein Children's Hospital Isfahan University of Medical Sciences Isfahan Iran

2. Skin Diseases and Leishmaniasis Research Center Isfahan University of Medical Sciences Isfahan Iran

3. Student Research Committee Isfahan University of Medical Sciences Isfahan Iran

4. Department of Pediatrics Isfahan University of Medical Sciences Isfahan Iran

5. Clinical Research Development Center Najafabad Branch, Islamic Azad University Najafabad Iran

6. Pediatrics Infectious Diseases Department Isfahan University of Medical Sciences Isfahan Iran

7. Pediatric Cardiovascular Research Center. Cardiovascular Research Institute Isfahan University of Medical Sciences Isfahan Iran

Abstract

Key Clinical MessageInfections in infantile hemangiomas (IHs) are generally limited, and only few cases have been reported. The rapid expansion of an ulcerated IH should raise concern for possible complications to monitor and provide immediate therapeutic interventions. This case highlights the importance of prompt treatment in large segmental IHs to prevent ulceration and related complications, including bleeding and superinfection.AbstractIH is a benign tumor proliferating during early infancy. While many IHs spontaneously resolve, complications like ulceration, bleeding, and potential damage to vital organs can occur, leading to pain, infection, and scarring. A 6‐month‐old girl with a previously treated IH on her left leg developed a Klebsiella‐infected ulcer at the site. The ulcer resulted from non‐standard treatments used before admission. Upon hospitalization, she was initially treated with cefepime and propranolol, but a week later, the wound culture revealed Klebsiella pneumoniae, prompting a switch to piperacillin/tazobactam. After successfully managing the infection and bleeding, the child was discharged in good condition with orders to continue treatment with propranolol for at least a year. This case highlights the potential of IHs to become infected even with uncommon germs such as Klebsiella and the importance of receiving appropriate medical care to prevent further complications.

Publisher

Wiley

Reference20 articles.

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2. Infantile hemangioma

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