Early diagnosis of post-varicella necrotising fasciitis: A medical and surgical emergency

Necrotising fasciitis (NF) is an extremely rare complication of a rather common paediatric viral exanthem varicella. Delayed diagnosis and treatment can lead to significant morbidity and mortality. Laboratory risk indicator of NF score aids in early clinical diagnosis in suspected cases of post-vari...

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Detalles Bibliográficos
Autores principales: Xavier, Rose, Abraham, Bobby, Cherian, Vinod Jacob, Joseph, Jobin I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4955452/
https://www.ncbi.nlm.nih.gov/pubmed/27251524
http://dx.doi.org/10.4103/0189-6725.181707
Descripción
Sumario:Necrotising fasciitis (NF) is an extremely rare complication of a rather common paediatric viral exanthem varicella. Delayed diagnosis and treatment can lead to significant morbidity and mortality. Laboratory risk indicator of NF score aids in early clinical diagnosis in suspected cases of post-varicella NF thus enabling timely intervention. Surgery delayed for more than 24 hours, is an independent risk factor for death. Surgical debridement with good antibiotic coverage is the definitive treatment for NF.

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