of the North Caucasus
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Necrotizing fasciitis in a child: clinical case
[Notes from practice]
Andrey Valerievich Pisklakov; Vyacheslav Ivanovich Ponomarev; Veronika Sergeevna Rozdestvenskaya; Valery Ivanovich Larkin; Igor Ivanovich Larkin;
The article highlights a clinical case of diagnosis and successful treatment of necrotizing fasciitis in a 4-year old child. The clinical picture of the onset and course of the disease, the difficulties of differential diagnosis, as well as methods of diagnosis and treatment are described. It should be noted that this pathology in childhood develops at lightning speed. However, in the initial stages, it can proceed under the guise of other diseases, such as acute hematogenous osteomyelitis.
References:
1. Ahrenholz D. H. Necrotizing soft-tissue infections. surg. Clin. North Am. 1988;68(1):199-214. https://doi.org/10.1016/S0039-6109(16)44440-3
2. Lodhia J., Chussi D., Ngowi E., Laizer L., Leonard L. [et al.] Necrotizing fasciitis in a 5-week-old infant: An unusual presentation. sAGE Open Med. Case Rep. 2021;9:2050313X211037121. https://doi.org/10.1177/2050313X211037121
3. Wojtera M., Cheng H., Fiorini K., Coughlin K., Barton M. [et al.] Group B Streptococcal Cellulitis and Necrotizing Fasciitis in Infants: A Systematic Review. Pediatr. Infect. Dis. J. 2018;37(9):e241-e245. https://doi.org/10.1097/INF.0000000000001931
4. Kharlamova F. S., Vrublevsky S. G., Petrov M. S., Egorova N. Yu., Semenova L. P. [et al.] Necrotizing fasciitis in children. Detskie infekcii. – Children’s infections.2013;1:43-50.
5. Lipatov K. V., Asatryan A. G., Melkonyan G. G., Kuznetsov V. A., Gorbacheva I. V. [et al.] Necrotising Fasciitis of Upper Limb: Clinic, Diagnosis, Treatment Necrotising Fasciitis of Upper Limb: Clinic, Diagnosis, Treatment. Novosti Khirurgii. – surgery news. 2022;30(1):102-111. https://doi.org/10.18484/2305-0047.2022.1.102
Keywords: necrotizing fasciitis, Streptococcus pyogenes, children, ozone therapy, treatment
Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy