Fatal Clostridial necrotizing enterocolitis in a term infant with gastroschisis

Autor: Kevin M. Riggle, Jessica L. Davis, George T. Drugas, Kimberly J. Riehle
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 14, Iss C, Pp 29-31 (2016)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2016.08.007
Popis: Necrotizing enterocolitis (NEC) is most often a disease of preterm infants, but can develop in full term infants with gastroschisis. The latter cases typically present later and have a milder clinical course; we present the first case of fatal Clostridium perfringes-associated NEC in a full term infant with gastroschisis. Our case highlights the need for a high index of clinical suspicion for Clostridial NEC when there is rapid progression of disease and/or evidence of hemolysis. When Clostridial NEC is suspected, we recommend treatment with penicillin G and clindamycin, as well as prompt, aggressive surgical intervention.
Databáze: Directory of Open Access Journals