Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child / 소아과
Korean Journal of Pediatrics
; : 538-541, 2014.
Article
em En
| WPRIM
| ID: wpr-161257
Biblioteca responsável:
WPRO
ABSTRACT
Varicella is usually considered to be a benign disease in healthy children; however, serious complications can occur such as necrotizing fasciitis and toxic shock syndrome. We describe a 38-month-old girl with necrotizing fasciitis and streptococcal toxic shock syndrome following varicella. She was previously healthy and vaccinated against varicella at 12 months of age. She had been diagnosed with varicella three days prior to presenting at our facility; she developed fever, vomiting, and painful swelling on her left flank. Her skin lesions worsened, she became lethargic, and had episodes of hypotension and coagulopathy. Necrotizing fasciitis on the left abdominal wall, buttocks, and left thigh was diagnosed by magnetic resonance imaging, and group A Streptococcus was isolated from a tissue culture. She was diagnosed as necrotizing fasciitis and streptococcal toxic shock syndrome, and successfully treated with repeated surgical debridement and fasciotomy, in addition to intensive antibiotics. Our experience suggests that necrotizing fasciitis in patients with varicella should be considered to be a rare complication even with widespread vaccine use. Early diagnosis and intensive treatment are required to prevent a fatal outcome.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Choque Séptico
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Pele
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Streptococcus
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Streptococcus pyogenes
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Coxa da Perna
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Vômito
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Nádegas
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Imageamento por Ressonância Magnética
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Varicela
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Evolução Fatal
Tipo de estudo:
Diagnostic_studies
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Screening_studies
Limite:
Child
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Child, preschool
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Female
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Humans
Idioma:
En
Revista:
Korean Journal of Pediatrics
Ano de publicação:
2014
Tipo de documento:
Article