Document Type : case report
Authors
1 Assistant Professor of Pediatrics, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2 Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
3 Assistant Professor of Plastic & Reconstructive Surgery Department of Surgery, School of Medicine Ali Ibn Abitaleb Educational and Tretment Hospital Rafsanjan University of Medical Sciences
4 Golestan University of Medical Sciences, Gorgan, Iran
Abstract
Introduction: Necrotizing fasciitis (NF) is a rare but disastrous complication of chickenpox in young children. NF should be suspected in case of varicella infection and persistent pain and swelling in any part of the body with fever, erythema, and lethargy. Timely surgical debridement with broad-spectrum antibiotic therapy and fluid resuscitation is critical to avoid fatal outcomes.
Case Presentation: We describe the case of a previously healthy 6-year-old girl who presented with unusual pain in the lower abdominal wall. Urgent debridement was performed because of an inadequate response to primary conservative therapy with antibiotics and a subsequent deterioration in general condition.
Conclusions: This report highlights the need for a high index of suspicion for diagnosis and timely surgical intervention for effective management of NF.
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