Ibarra HCR, Baeza HC, López MP, García SBO

Language: Spanish
References: 10
Page: 15-17
PDF size: 177.11 Kb.

ABSTRACT

Necrotizing fasciitis is a rare complication that appears as consequence of surgical or traumatic events, but is also usually seen secondary to cutaneous infection and loxocelism. Due to its being a real sepsis, intensive care and surgical measures are fundamental for survival.
Case report: Four-month-old male baby who had undergone a laparotomy due to colon perforation secondary to intussusception and developed a necrotizing fasciitis over 30% of his body surface. For total recovery plastic surgery was not necessary. This complication is rare, but elicits alarm.

REFERENCES

1. Baeza HC, León CA. Miodermonecrólisis por loxoscelismo letal. Acta Pediatr Mex. 2007; 28: 59-62.

2. Baeza HC, Rojas EA. Miositis necrosante. Una complicación rara de la varicela. Gaceta Médica del Distrito Federal. 1993; 5: 56-59.

3. Bingöl-Koloğlu M. Necrotizing fasciitis in children: diagnostic and therapeutic aspects. J Pediatr Surg. 2007; 42: 1892-1897.

4. Ekinger G. Fournier’s gangrene in childhood: a report of 3 infant patients. J Pediatr Surg. 2008; 43: E39-E42.

5. Chin CL. Necrotizing fasciitis: a rare complication of hypospadias surgery in a child. J Pediatr Surg. 2005; 40: E29-E31.

6. Murphy G, Granger R. Necroziting fasciitis in childhood. J Pediatr Surg. 1995; 130: 1131-1134.

7. Butterworth SA. Necrotizing soft tissue infections-are they different in healthy versus immunocompromised children? J Pediatr Surg. 2006; 41: 935-939.

8. Abbott RE. Necrotizing fasciitis in infancy: an uncommon setting and a prognostic disadvantage. J Pediatr Surg. 1999; 34: 1432-1434.

9. Waldhausen JH. Surgical implications of necrotizing fasciitis in children with chickenpox. J Pediatr Surg. 1996; 31: 1138-1141.

10. Wakhlu A. Conservative management of necrotizing fascitis in children. J Pediatr Surg. 2006; 41: 1144-1148.