A Boy With Necrotizing Fasciitis Diagnosed at an Early Stage

Shimane journal of medical science Volume 30 Issue 1 Page 47-52 published_at 2013-11-01
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Title
A Boy With Necrotizing Fasciitis Diagnosed at an Early Stage
Creator
Tanaka Naomi
Minami Noriaki
Mushimoto Yuichi
Kanai Rie
Higuchi Tsuyoshi
Kuwata Takumi
Source Title
Shimane journal of medical science
Volume 30
Issue 1
Start Page 47
End Page 52
Journal Identifire
ISSN 03865959
EISSN 24332410
Descriptions
An 18-month-old boy suffering from pain and swelling of the right leg and fever, all of which developed following chickenpox infection, was referred to our hospital. His peripheral blood white blood cell count and CRP were elevated to 19,630 /μl and
9.87 mg/dl, respectively. Streptococcal antigen was detected on the throat swab. T2-weighted magnetic resonance images demonstrated high intensity signal in the fascia on his right leg, suggesting a diagnosis of necrotizing fasciitis(NF). Upon exploratory incision, surgical debridement and fasciotomy were performed on his leg. After surgery, pain and swelling of the leg and fever disappeared swiftly following antibiotics infusion. Two months postoperatively, he could walk without any impediment. Although NF is generally characterized by rapidly spreading necrosis and a high mortality rate, early diagnosis of NF with MRI followed by timely surgical intervention led to quick recovery of our patient without any major complications.
Subjects
necrotizing fasciitis ( Other)
child ( Other)
magnetic resonance imaging ( Other)
debridement ( Other)
exploratory incision ( Other)
Language
eng
Resource Type departmental bulletin paper
Publisher
Shimane University Faculty of Medicine
Date of Issued 2013-11-01
Publish Type Version of Record
Access Rights open access
Relation
[NCID] AA00841586