Type II necrotising fasciitis in neonates - a case series

*, Singhal V and Kamath, Nutan and Shenoy, RD and Bhat , KG (2012) Type II necrotising fasciitis in neonates - a case series. Asian Journal of Pediatric Practice.

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Background: Necrotizing fasciitis (NF) is a devastating soft tissue infection, characterized by necrosis of the superficial fascia and subcutaneous tissue. The cases of neonatal NF are rarely reported in literature. Objective: To study the etiology, clinical presentation, microbiology, management and outcome of NF in neonates. Methodology: A retrospective analysis of case records of neonates admitted to a tertiary care hospital with NF during the period January 2007 to August 2009 was undertaken. Clinical features, site of infection, initiating and predisposing factors, laboratory investigations done, treatment given, complications and outcome were recorded on a predesigned proforma and analyzed. Results: We had three cases of neonatal NF. All had erythema of the skin progressing to blackish discoloration. Staphylococcus aureus was isolated from tisssue in two and Streptococcus from the third. They were managed in neonatal intensive care unit with the standard protocol of resuscitation, intravenous antibiotics, surgical intervention and supportive care. Although rare, head and neck lesions were present in two cases which survived. The third case with lower limb involvement and multiorgan dysfunction expired. Conclusions: Early recognition and aggressive management both medical and surgical, can reduce morbidity and mortality.

Item Type: Article
Uncontrolled Keywords: Necrotizing fasciitis, newborn, intensive care
Subjects: Medicine > KMC Mangalore > Paediatrics
Depositing User: KMCMLR User
Date Deposited: 16 Feb 2013 06:21
Last Modified: 16 Feb 2013 06:21
URI: http://eprints.manipal.edu/id/eprint/78364

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