Necrotizing fasciitis and myonecrosis in early childhood: A report of three patients

J. Mordehai, E. Kurzbart, Z. Cohen, A. J. Mares

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Necrotizing fasciitis (NF) is a rare and life-threatening disease. It usually presents as a postoperative complication, but rarely appears following trauma or without apparent cause. Over a period of 2 years we have treated three infants with NF, aged 15, 5, and 30 months, respectively. Two patients developed this complication following minor trauma while the third was postelective bilateral inguinal hernia repair. The micro-organisms isolated were Staphylococcus aureus with Enterococcus durans in one patient, β-hemolytic streptococcus in a second, and Staph. aureus in the third. The cornerstone of therapy is prompt, early, aggressive surgical debridement of the massive necrotic tissue and repeated debridement if necessary, with appropriate parenteral antibiotic therapy and hyperalimentation. All three patients survived. Early recognition of this life-threatening situation is mandatory in achieving survival.

Original languageEnglish
Pages (from-to)538-540
Number of pages3
JournalPediatric Surgery International
Volume12
Issue number7
DOIs
StatePublished - 1 Jan 1997

Keywords

  • Infancy
  • Myonecrosis
  • Necrotizing fasciitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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