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A rare case of necrotizing fasciitis after early infant male circumcision

Fariba Zabihi1, Saeid Jamalie Bastami2, Khashayar Atqiaee3

  • 1Resident of General Surgery, Endoscopic and Minimally Invasive Surgery Research Center Mashhad University of Medical Sciences Mashhad Iran.

Clinical Case Reports
|October 17, 2022
PubMed

Insights

Plastibell circumcision complications are rare but serious. Necrotizing fasciitis in an infant highlights the need for proper technique and equipment to ensure infant safety during the procedure.

Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Infectious Disease

Background:

  • Circumcision is a common neonatal procedure with generally low risks.
  • Potential complications, though infrequent, require prompt recognition and management.
  • Plastibell device is a commonly used method for infant circumcision.

Observation:

  • A case report of a 5-month-and-28-day-old infant is presented.
  • The infant developed necrotizing fasciitis after a Plastibell circumcision.
  • This severe soft tissue infection indicates a significant complication.

Findings:

  • Necrotizing fasciitis is a rare but life-threatening complication following infant circumcision.
  • The use of standard equipment and correctly sized Plastibell rings is crucial.
  • Improper device sizing or application may increase the risk of adverse events.

Implications:

  • Clinicians must adhere strictly to guidelines for circumcision procedures.
  • Vigilance for early signs of infection is essential in post-circumcision care.
  • This case underscores the importance of appropriate technique to prevent severe complications like necrotizing fasciitis.

Keywords:
anti‐bacterial agentscircumcisioninfantnecrotizing fasciitis

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