Polymicrobial lower extremity necrotising fasciitis in a young toddler with sepsis.

Autor:	Nordstrom NK; Department of Surgery, WVU, Morgantown, West Virginia, USA., Miranda M; Department of Surgery, WVU, Morgantown, West Virginia, USA., Seifarth FG; Division of Pediatric Surgery, WVU, Morgantown, West Virginia, USA Federico.seifarth@hsc.wvu.edu., Drews JD; Division of Pediatric Surgery, WVU, Morgantown, West Virginia, USA.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2024 Nov 26; Vol. 17 (11). Date of Electronic Publication: 2024 Nov 26.
DOI:	10.1136/bcr-2024-262142
Abstrakt:	This is a case of a female toddler presenting with a minor injury to the right lower extremity with progressively worsening erythema and oedema. Initial workup revealed elevated inflammatory markers and imaging with significant soft tissue gas. The overall clinical presentation was highly suggestive of a necrotising soft tissue infection. The patient was expeditiously managed with fluid resuscitation, intravenous antibiotics and admission to intensive care. The patient required multiple operative interventions for excisional debridement of grossly necrotic soft tissue and fascia with eventual achievement of healthy wound margins amenable to reconstruction with skin grafting. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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