Necrotizing fasciitis in children due to minor lesions

Aggressive Necrotizing Fasciitis in a 12-Year-Old Girl of Unknown Etiology: Diagnosis, Therapy, and Prognosis

“…Usually, minor skin injuries or a traumatic injury are the etiological point of NF [3]. In our patients, no traumatic event or skin insult were reported.…”

“…Unlike in adults, NF in the pediatric population is usually a monomicrobial infection. In addition to Streptococcus and Staphylococcus, which are the most common bacterial genera, Pseudomonas aeruginosa was the third most common single pathogen reported [1,3,9,12,13]. In our case, Group A beta-hemolytic streptococci (GAS) was isolated.…”

“…Inadequate treatment of NF can lead to severe morbidity and can be fatal [2]. Mortality due to sepsis, disseminated intravascular coagulation (DIC), or organ failure has been reported most frequently, especially when there is more than 48 hours between the onset of symptoms and surgical treatment [3][4][5]. β-hemolytic streptococci can also be the trigger of streptococcal toxic shock syndrome (STSS) with the above symptoms, which occurs in about 50% of cases in the course of NF and can lead to circulatory instability and multiple organ failure [6].…”

Necrotizing fasciitis pediatric debut

“…Consiste en una severa inflamación a nivel de la vaina del musculo, que provoca trombosis y necrosis del tejido subcutáneo y de la fascia adyacente. Debido a la rareza de esta enfermedad, presenta una prevalencia de 0,02% en la población pediátrica [ 4 , 5 ]. A diferencia de los adultos, que suelen estar condicionados por una situación de inmunodepresión, la FN ocurre con mayor frecuencia en niños sanos.…”

“…El diagnóstico erróneo más frecuente es la celulitis, que a su vez es el diagnóstico diferencial más frecuente [ 5 ], sin embargo en nuestro caso inicialmente se pensó en un diagnostico compatible con trombosis venosa profunda.…”