Necrotising fasciitis in an infant with congenital insensitivity to pain syndrome

We present a rare case of necrotising fasciitis in an infant with congenital insensitivity to pain syndrome. The aetiology, diagnosis and management of necrotising fasciitis in children are compared with those in adults. In contrast to adults, children affected by necrotising fasciitis are usually p...

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Bibliographic Details
Published in:British journal of plastic surgery 2002-03, Vol.55 (2), p.160-163
Main Authors: Shaaban, Hassan, Bayat, Ardeshir, Davenport, Peter, Shah, Mamta
Format: Article
Language:English
Subjects:
Amputation
Bacterial diseases
Bacterial diseases of the skin
Biological and medical sciences
congenital insensitivity to pain syndrome
Fasciitis, Necrotizing - complications
Fasciitis, Necrotizing - diagnosis
Fasciitis, Necrotizing - therapy
Follow-Up Studies
Forearm - surgery
Human bacterial diseases
Humans
Infant
Infectious diseases
Male
Medical sciences
necrotising fasciitis
Nervous system involvement in other diseases. Miscellaneous
Neurology
Pain Insensitivity, Congenital - complications
Pain Insensitivity, Congenital - diagnosis
streptococcal gangrene
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Summary:We present a rare case of necrotising fasciitis in an infant with congenital insensitivity to pain syndrome. The aetiology, diagnosis and management of necrotising fasciitis in children are compared with those in adults. In contrast to adults, children affected by necrotising fasciitis are usually previously healthy and have no predisposing factors. Early diagnosis, intravenous antibiotics and aggressive surgical debridement are mandatory for an optimal outcome.
ISSN:0007-1226
1465-3087
DOI:10.1054/bjps.2001.3771