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Cervical necrotizing fasciitis caused by Serratia marcescens in a 2 year old
Christopher L Newton1, David deLEMOS, Thomas J Abramo
1University of Texas Southwestern Medical Center, Division of Pediatric Emergency Medicine, Children's Medical Center of Dallas, Texas 75235, USA.
Insights
Fulminant cervical necrotizing fasciitis is a rare, life-threatening condition in children. Prompt recognition and aggressive treatment are crucial for managing this severe pediatric infection.
Area of Science:
- Pediatric Infectious Diseases
- Surgical Pathology
Background:
- Necrotizing fasciitis is a severe soft tissue infection characterized by rapid progression and high mortality.
- Cervical necrotizing fasciitis, though rare in children, presents a significant clinical challenge.
Observation:
- A previously healthy 2-year-old girl developed fulminant cervical necrotizing fasciitis.
- The condition presented as an unusual and life-threatening complication.
Findings:
- Literature review indicates significant morbidity and mortality associated with pediatric necrotizing fasciitis.
- Early diagnosis and prompt, aggressive surgical and medical management are critical.
Implications:
- This case underscores the importance of heightened clinical suspicion for necrotizing fasciitis in pediatric patients.
- Timely intervention is paramount to improve outcomes and reduce mortality in severe cervical infections.
Abstract:
We report an unusual, life-threatening complication of producing fulminant cervical necrotizing fasciitis in a previously healthy 2-year-old girl. We reviewed the literature for necrotizing fasciitis in children and its morbidity, mortality, and treatment. This case illustrates the necessity of prompt recognition and aggressive management in patients presenting with cervical necrotizing fasciitis.