PMID: 16527071Mar 11, 2006Paper

Necrotizing fasciitis due to Streptococcus pyogenes

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
E Cidoncha EscobarO Riquelme García

Abstract

Necrotizing fasciitis is a severe infection, with systemic involvement and tissue necrosis. The clinical course is rapid and often fatal. Although this entity is uncommon, early recognition and treatment is essential to improve prognosis. Necrotizing fasciitis should be suspected when there are symptoms of toxicity and there is severe pain, frequently out of proportion to the clinical findings. In addition, in the last few years the incidence of invasive disease due to Streptococcus pyogenes in children has increased. Treatment is based on life support, aggressive debridement, and antimicrobial therapy. Intravenous immunoglobulin (IVIG) as adjunctive therapy seems useful and reduces mortality. The case of an infant with necrotizing fasciitis of four extremities is presented.

References

May 11, 2001·Pediatrics·UNKNOWN American Academy of Pediatrics. Committee on Infectious Diseases
Jun 20, 2002·Archives of Dermatology·Antonio Fustes-MoralesRamon Ruiz-Maldonado
Feb 22, 2003·Surgical Infections·M A Malangoni
Nov 19, 2003·Scandinavian Journal of Infectious Diseases·Anna Norrby-TeglundJessica Darenberg

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Citations

May 12, 2012·Revista española de anestesiología y reanimación·M Sanjuán ÁlvarezC Rodríguez Bertos
Mar 10, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·M Tobeña RuéF A Moraga Llop
Apr 13, 2019·BMC Infectious Diseases·Arne SchröderChristina Oetzmann von Sochaczewski

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