Prompt recognition of necrotizing fasciitis in a newborn

H. C. Chao, Y. C. Huang, M. S. Kong, W. S. Hsieh, T. Y. Lin, J. Y. Lai

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We report a 13-day-old female neonate with necrotizing fasciitis, who presented with fever and erythema on her back. Rapidly progressive extension of the erythema to the abdominal wall occurred within 12 hours. Sonography for the lesion showed extensive fascial thickening with fluid accumulation. An abscess was also demonstrated. Necrotizing fasciitis was highly suspected. Under sonographic guidance, pus was aspirated from the abscess. A smear for the aspirated pus revealed a large number of neutrophils and abundant gram- positive cocci. Immediate surgical debridement was done. Cultures from the pus and blood revealed Staphylococcus aureus. The patient was free of symptoms after surgical debridement and aggressive antibiotic therapy. She had skin grafting to reconstruct the debrided wound on the 20th hospital day and was discharged shortly after the debridement of wound.

Original languageEnglish
Pages (from-to)43-45
Number of pages3
JournalActa Paediatrica Sinica
Volume40
Issue number1
Publication statusPublished - 1999
Externally publishedYes

Fingerprint

Necrotizing Fasciitis
Suppuration
Debridement
Newborn Infant
Erythema
Abscess
Gram-Positive Cocci
Skin Transplantation
Wounds and Injuries
Abdominal Wall
Staphylococcus aureus
Ultrasonography
Neutrophils
Fever
Anti-Bacterial Agents
Therapeutics

Keywords

  • Necrotizing fasciitis
  • Neonate
  • Ultrasonography

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Chao, H. C., Huang, Y. C., Kong, M. S., Hsieh, W. S., Lin, T. Y., & Lai, J. Y. (1999). Prompt recognition of necrotizing fasciitis in a newborn. Acta Paediatrica Sinica, 40(1), 43-45.

Prompt recognition of necrotizing fasciitis in a newborn. / Chao, H. C.; Huang, Y. C.; Kong, M. S.; Hsieh, W. S.; Lin, T. Y.; Lai, J. Y.

In: Acta Paediatrica Sinica, Vol. 40, No. 1, 1999, p. 43-45.

Research output: Contribution to journalArticle

Chao, HC, Huang, YC, Kong, MS, Hsieh, WS, Lin, TY & Lai, JY 1999, 'Prompt recognition of necrotizing fasciitis in a newborn', Acta Paediatrica Sinica, vol. 40, no. 1, pp. 43-45.
Chao HC, Huang YC, Kong MS, Hsieh WS, Lin TY, Lai JY. Prompt recognition of necrotizing fasciitis in a newborn. Acta Paediatrica Sinica. 1999;40(1):43-45.
Chao, H. C. ; Huang, Y. C. ; Kong, M. S. ; Hsieh, W. S. ; Lin, T. Y. ; Lai, J. Y. / Prompt recognition of necrotizing fasciitis in a newborn. In: Acta Paediatrica Sinica. 1999 ; Vol. 40, No. 1. pp. 43-45.
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