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[Varicella complicated with necrotizing fasciitis caused by group A hemolytic Streptococcus]
K Billiemaz1, M P Lavocat, G Teyssier
1Service de réanimation pédiatrique et néonatologie, hôpital Nord, 42055 Saint-Etienne, France.
Abstract
Unlabelled:
Chickenpox has a high risk of invasive group A streptococcal disease and necroziting fasciitis.
Case Report:
A five-year-old girl, during chickenpox treated with ibuprofen, developed sepsis and edematous and necrotic lesions of the pelvis and the abdominal wall. The child improved with surgical treatment and adjunction of clindamycin to the antibiotic therapy.
Conclusion:
We review the optimal medical and surgical treatment of necrotizing fasciitis and discuss the role of chickenpox and non steroidal antiinflammatory agents in this disease.