Severe infection with skin necrosis of the leg after simultaneous pancreas and kidney transplantation. Case report.

The increase potential of immunosupression have reduced the incidence of transplanted organs rejection but also increased patients susceptibility to opportunistic infections and cancer.

37-year-old male patient was admitted to the Department of General and Transplantation Surgery due to edema of the right leg with signs of infection. Pharmacological treatment was not effective enough and surgical necrosectomy was performed. After that negative pressure wound therapy was started and split-thick skin grafting was done. After few weeks patient was discharged without any signs of active infection, with good healing wound.

Cutaneous infection in immunocompromised patients should be treated quickly with aggressive surgical debridement and wide-spectrum antibiotics because of the high risk of life-threating complications in this population.