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Multifocal necrotizing fasciitis in varicella
G Schwarz1, M Sagy, Z Barzilay
1Pediatric Intensive Care Unit, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Pediatric Emergency Care
|March 1, 1989
Summary
Necrotizing fasciitis is a severe complication of chickenpox (varicella) in children. Early surgical intervention is crucial for successful recovery and reduced morbidity.
Area of Science:
- Pediatrics
- Infectious Diseases
- Surgical Pathology
Background:
- Varicella (chickenpox) is a common viral infection in children.
- Severe bacterial infections can sometimes complicate viral illnesses.
Observation:
- A two-year-old child presented with severe necrotizing fasciitis in multiple limb locations during varicella.
- Diagnosis was suspected after prolonged fever, leukocytosis, and lack of response to antibiotics, confirmed by purulent deep tissue aspiration.
Findings:
- The patient recovered after surgical drainage, debridement, and skin grafting.
- Prompt surgical management is key to treating this severe condition.
Implications:
- Highlights the importance of considering necrotizing fasciitis in children with varicella presenting with severe symptoms.
- Emphasizes that early surgical intervention significantly improves outcomes and reduces complications in pediatric necrotizing fasciitis.