Extensive necrotising fasciitis in a 4-day-old neonate: a successful outcome from modern dressings, intensive care and early surgical intervention

Shinichiro Sakata; Romi Das Gupta; J Fred Leditschke; Roy M Kimble

doi:10.1007/s00383-008-2289-3

Extensive necrotising fasciitis in a 4-day-old neonate: a successful outcome from modern dressings, intensive care and early surgical intervention

Pediatr Surg Int. 2009 Jan;25(1):117-9. doi: 10.1007/s00383-008-2289-3. Epub 2008 Nov 4.

Authors

Shinichiro Sakata¹, Romi Das Gupta, J Fred Leditschke, Roy M Kimble

Affiliation

¹ The Royal Children's Hospital Burns Research Group, Department of Paediatrics and Child Health, Royal Children's Hospital, University of Queensland, Herston, QLD, 4029, Australia. shin.sakata@gmail.com

PMID: 18982332
DOI: 10.1007/s00383-008-2289-3

Abstract

Necrotising fasciitis (NF) is a fulminant and life-threatening soft tissue infection, which leads to vascular thrombosis and cutaneous ischemia. We present our experience with extensive necrotising fasciitis in a 4-day-old neonate and stress the importance of early diagnosis, modern dressings including negative pressure therapy, prompt surgical debridement and intensive care to improve the survival and cosmetic outcome of children with NF.

Publication types

Case Reports

MeSH terms

Anti-Bacterial Agents / therapeutic use
Critical Care*
Debridement*
Fasciitis, Necrotizing / diagnosis
Fasciitis, Necrotizing / microbiology
Fasciitis, Necrotizing / therapy*
Female
Fluid Therapy
Humans
Immunoglobulins, Intravenous
Infant, Newborn
Negative-Pressure Wound Therapy*
Polyesters / therapeutic use
Polyethylenes / therapeutic use
Staphylococcal Infections / diagnosis
Staphylococcal Infections / therapy*
Staphylococcus aureus
Surgical Flaps

Substances

Acticoat
Anti-Bacterial Agents
Immunoglobulins, Intravenous
Polyesters
Polyethylenes