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Cervical necrotizing fasciitis in infant: case report

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Author(s): Schiavetto, Renata Rennó | Cancian, Lauana R. L. | Haber, Daniel Martiniano | Maniglia, Mauricio Pereira | Maniglia, Claudia Pereira | Fernandes, Atílio M.

Journal: International Archives of Otorhinolaryngology
ISSN 1809-9777

Volume: 12;
Issue: 4;
Start page: 596;
Date: 2008;
Original page

Keywords: Infection | Child | Neck | Antibacterial agents

ABSTRACT
Introduction: Necrotizing fasciitis is a bacterial infection characterized by extensive necrosis of tissues, and may include skin and muscles. It's more frequent in adults than in children and generally involves the trunk and extremities. Head and neck area is less commonly affected. The most frequently isolated pathogens are the Streptococcus pyogenes (group A) and Staphylococcus aureus. The anatomopathological exam is the best diagnostic method, which early identifies the disease. The clinical support, surgical debridement, and the intravenous antibiotic therapy, are fundamental for the treatment. Objective: To report a case of an infant who suffered from Cervical Necrotizing Fasciitis. Case Report: Infant, male sex, white, 2 months old, previously healthy, with Necrotizing Fasciitis involving the frontal and right lateral cervical regions. After adequate treatment the patient obtained excellent recovery without presenting important aesthetic or functional alterations. Conclusion: The Cervical Necrotizing Fasciitis is uncommon in children. The early surgical debridement is necessary to control the infection, even if it may result in great and deep injuries. The wide spectrum antibiotic therapy and hemodynamic support are also basic for the therapeutic success.
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