| |
Necrotizing fasciitis of the perineum
Yasemin Akın, Ayşenur Cerrah Celayir, Tayfun Aköz, Hasret Ayyıldız Civan, Gökmen Kurt, Turgut Ağzıkuru, Ceyhan Şahin
Istanbul, Turkey
Author Affiliations: First Department of Pediatrics, Dr. L¨¹tfi Kırdar Kartal Educational and Research Hospital, İstanbul, T¨¹rkiye (Akın Y, Civan HA, Ağzıkuru T); Department of Pediatric Surgery, Zeynep Kamil Maternal and Child Educational and Research Hospital, İstanbul, T¨¹rkiye (Celayir AC, Kurt G, Şahin C); Department of Plastic and Reconstructive Surgery, Dr. L¨¹tfi Kırdar Kartal Educational and Research Hospital, İstanbul, T¨¹rkiye (Aköz T)
Corresponding Author: Ayşenur Cerrah Celayir, Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesi, Başhekim, Arakiyeci Hacı Mehmet Mah. Op.Dr.Burhanettin Üst¨¹nel Cad. No:10, 34668, Üsk¨¹dar, İstanbul, T¨¹rkiye (Tel: +90 216 343 20 73; Fax: +90 216 343 92 51; Email: acelayir@ttmail.com)
doi: 10.1007/s12519-011-0294-4
Background: Necrotizing fasciitis is a severe soft tissue infection characterized by rapidly progressing necrosis, involving subcutaneous tissues. This rare condition carries a high mortality rate and requires prompt diagnosis and urgent treatment with radical debridement and antibiotics; but early diagnosis, which is essential to successful treatment, remains a challenge.
Methods: Physical examination findings, pre-operative and operative findings, histopathological results of the structure, and follow-up results of the patient are discussed with related reports.
Results: A 15-month old girl had a history of trivial perineal dermatitis after treatment of anemia and pneumonia. Perineal dermatitis progressed fastly as necrotizing fasciitis which was successfully managed with intensive medical treatment, surgical debridement and reconstructive surgery.
Conclusions: Lack of cutaneous findings early in the disease makes the diagnosis challenging, so a high suspicion is essential. Recovery of the patient from this life-threatening condition needs a multi-disciplinary approach involving pediatrics, pediatric surgery, and plastic and reconstructive surgery.
Key words: child; Fournier's gangrene; necrotizing fasciitis; perineum
World J Pediatr 2013;9(2):185-187
|
