Document Type : case report

Authors

• Fateme-Sadat Tabatabaei ¹
• Fatemeh Jalali ^{2, 3}
• Hossein Salehi ⁴
• Seyyed-Mohsen Hosseininejad ⁵

¹ Assistant Professor of Pediatrics, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

² Assistant Professor of Pediatrics, Department of Pediatrics, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

³ Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

⁴ Assistant Professor of Plastic & Reconstructive Surgery, Department of Surgery, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

⁵ Joint, Bone, Connective Tissue Rheumatology Research Center (JBCRC), Golestan University of Medical Sciences, Gorgan, Iran.

Abstract

Background: Necrotizing Fasciitis (NF) is an uncommon but disastrous complication of chickenpox in young children. NF should be suspected in case of varicella infection and persistent swelling and pain 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 female 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.
Conclusion: This report highlights the need for the consideration of the condition for diagnosis and timely surgical intervention for effective management of NF.

Keywords

• Chicken pox
• Necrotizing Fasciitis
• Virus Infection