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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.

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


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.


infectious diseases; paediatrics; vaccination/immunisation

[Indexed for MEDLINE]

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