Acute appendicitis with fulminant necrotizing fasciitis in a neonate

J Pediatr Surg. 2003 Nov;38(11):E5-6. doi: 10.1016/j.jpedsurg.2003.08.014.

Abstract

The authors report on a neonate who presented with acute appendicitis and who went on to have fatal necrotizing fasciitis. Although recognized in adults, this rare combination of conditions has not been reported previously in the neonate and requires rapid recognition with aggressive medical and surgical intervention.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Appendectomy
  • Appendicitis / complications*
  • Appendicitis / microbiology
  • Appendicitis / surgery
  • Clindamycin / therapeutic use
  • Combined Modality Therapy
  • Debridement
  • Drug Therapy, Combination / therapeutic use
  • Enterococcus faecalis / isolation & purification
  • Fasciitis, Necrotizing / drug therapy
  • Fasciitis, Necrotizing / etiology*
  • Fasciitis, Necrotizing / microbiology
  • Fasciitis, Necrotizing / surgery
  • Fatal Outcome
  • Gram-Positive Bacterial Infections / complications
  • Gram-Positive Bacterial Infections / drug therapy
  • Humans
  • Infant, Newborn
  • Klebsiella Infections / complications
  • Klebsiella Infections / drug therapy
  • Klebsiella oxytoca / isolation & purification
  • Male
  • Metronidazole / therapeutic use
  • Penicillins / therapeutic use
  • Postoperative Complications
  • Shock, Septic / drug therapy
  • Shock, Septic / etiology
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / drug therapy

Substances

  • Penicillins
  • Metronidazole
  • Clindamycin