Necrotizing fasciitis caused by Staphylococcus epidermidis in a neonate with extremely low birthweight

Necrotizing fasciitis (NF) is a severe life‐threatening soft tissue infection characterized by rapidly spreading necrosis of the fascia and the subcutaneous tissue. The initial skin presentation ranges from minimal rash to cellulites. The lesions subsequently spread rapidly. Even with appropriate me...

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Bibliographic Details
Published in:Journal of dermatology 2010-07, Vol.37 (7), p.671-673
Main Authors: PEKER, Erdal, KIRIMI, Ercan, TUNCER, Oguz, CEYLAN, Abdullah, CAGAN, Eren, DOGAN, Murat
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Birth weight
Case reports
Exanthema
extremely low birthweight
Fascia
Fasciitis
Fasciitis, Necrotizing - diagnosis
Fasciitis, Necrotizing - drug therapy
Fasciitis, Necrotizing - microbiology
Fatal Outcome
Female
Humans
infant
Infant, Extremely Low Birth Weight
Infant, Newborn
Infants
Infection
Mortality
Necrosis
Necrotizing fasciitis
Neonates
Skin
Soft Tissue Infections - diagnosis
Soft Tissue Infections - drug therapy
Soft Tissue Infections - microbiology
Soft tissues
Spreading
Staphylococcal Infections - complications
Staphylococcal Infections - diagnosis
Staphylococcal Infections - drug therapy
Staphylococcus epidermidis
Staphylococcus epidermidis - isolation & purification
Surgery
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Description
Summary:Necrotizing fasciitis (NF) is a severe life‐threatening soft tissue infection characterized by rapidly spreading necrosis of the fascia and the subcutaneous tissue. The initial skin presentation ranges from minimal rash to cellulites. The lesions subsequently spread rapidly. Even with appropriate medical and surgical therapy, the mortality rate in NF is more than 50%. In cases of neonates, mortality rate is higher than that ratio. High index of suspicion, prompt aggressive surgery, appropriate antibiotics and supportive care are the mainstays of management in the newborn infant with NF. Herein, we report a case of invasive and mortal NF caused by Staphylococcus epidermidis in an infant with extremely low birthweight.
ISSN:0385-2407
1346-8138
DOI:10.1111/j.1346-8138.2010.00840.x