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Rehabilitación (Madr., Ed. impr.) ; 49(4): 256-259, oct.-dic. 2015. ilus
Article in Spanish | IBECS | ID: ibc-143492

ABSTRACT

La fascitis necrosante es una grave infección de progresión rápida y fulminante. Debe ser sospechada ante la progresión de lesiones dérmicas con necrosis de tejidos y afectación del estado general. En los niños no requiere una situación de inmunodepresión ni enfermedad de base. El tratamiento de elección es el abordaje quirúrgico precoz con desbridamiento amplio de la zona afectada. La situación funcional tras el tratamiento puede verse mermada. Presentamos un caso de fascitis necrosante en un niño, su evolución, el tratamiento y el abordaje rehabilitador tras la cirugía (AU)


Necrotizing fasciitis is a serious bacterial infection with rapid progression and fulminant course. It should be suspected in patients with rapidly progressing skin lesions with soft tissue necrosis and deterioration of general health status. This infection can occur in children without immunodepression or underlying diseases. The treatment of choice is wide surgical debridement of dead tissue. Functional recovery after treatment may be limited. We report a case of necrotizing fasciitis in a boy and his outcome, as well as the treatment of this infection and the approach to rehabilitation after surgery (AU)


Subject(s)
Child, Preschool , Humans , Male , Fasciitis, Necrotizing/surgery , Fasciitis, Necrotizing/diagnosis , Fasciitis, Necrotizing/rehabilitation , Disease Progression , Debridement/instrumentation , Penicillins/therapeutic use , Lower Extremity/pathology , Lower Extremity/surgery , Skin Diseases, Infectious/complications , Skin Diseases, Infectious/diagnosis , Streptococcus pyogenes/isolation & purification , Foot/pathology , Foot/surgery , Foot , Prognosis , Pain Management
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