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BMJ Case Rep. 2018 Jun 21;2018. pii: bcr-2018-225018. doi: 10.1136/bcr-2018-225018.

Necrotising fasciitis as a complication of primary varicella infection in an immunocompetent child.

Author information

1
Department of Paediatrics, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.

Abstract

Necrotising fasciitis (NF) is an infrequent yet significant complication of primary varicella infection in immunocompetent children. We report a case of a 4-year-old girl who presented three days into her chicken pox illness, with a rapidly progressing, severely tender erythematous rash surrounding one chicken pox lesion on her thigh. She required intravenous antibiotics, two surgical debridements, a skin graft and a prolonged stay in the paediatric intensive care unit, but ultimately we were able to save her life and limb. NF is a rare complication of chicken pox that has high morbidity and mortality that requires prompt and specific treatment.

KEYWORDS:

infectious diseases; paediatrics; vaccination/immunisation

PMID:
29930190
DOI:
10.1136/bcr-2018-225018
[Indexed for MEDLINE]

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