Type II Necrotizing Fasciitis as a Dermatological Emergency in a Newborn

Authors

  • Sergio Germán Piloña Ruiz Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Nuvia Suárez Garcia Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Armando Vidal Batista Cáceres Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Adelina Izquierdo Meralla Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Omar León Vara Cuesta Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Keywords:

Necrotizing fascitis, Sepsis, Newborn infant.

Abstract

Introduction: necrotizing fasciitis is a rapidly progressive infection of the skin and soft tissues, often associated with a significant systemic toxicity. It is considered a dermatological emergency.
Clinical case: the case of a newborn with 12 days of life and with no pathological perinatal history is presented; admitted for special neonatal cares service due to a severe soft tissue infection in the thoracic region that evolved to shock. Clinical, microbiology and chemistry testing confirmed the diagnosis of a necrotizing fasciitis. In its evolution, it was required a multidisciplinary and immediate aggressive surgical treatment by burnt specialists; which consisted of resection, with broad and complete removal of all necrotic tissue. After one month of life, we decided to perform a free skin graft taken from the mother herself (homologous graft). The patient was discharged from hospital after 3 months, with a full recovery and no evidence of organ damage.
Conclusions: newborn necrotizing fasciitis is considered an unusual dermatological emergency.

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Author Biographies

Sergio Germán Piloña Ruiz, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Segundo Grado en Neonatología. Máster  en Atención Integral al Niño. Instructor.

Nuvia Suárez Garcia, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista Primer Grado en Neonatología.  Máster en Atención Integral al Niño. Asistente.

Armando Vidal Batista Cáceres, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Primer Grado de Caumatologia y Cirugía Plástica.

Adelina Izquierdo Meralla, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Primer Grado en Neonatología. Instructor.

Omar León Vara Cuesta, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Especialista de Segundo  Grado en Neonatología. Máster en Atención Integral al Niño. Profesor Auxiliar.

References

1. Suárez Fernández R. Urgencias en dermatología. Más Dermatología [Internet]. 2012 [citado 12 Agost 2013]; 16[aprox. 4.]. Disponible en: http://dialnet.unirioja.es/descarga/articulo/3827703.pdf

2. Parra Caballero P, Pérez Esteban S, Patiño Ruiz ME, Castañeda Sanz S, García Vadillo JA. Actualización en fascitis necrotizante. Semin Fund Esp Reumatol [Internet]. 2012 [citado 12 Agost 2013]; 13(2) [aprox. 9.]. Disponible en: http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=90135099&pident_usuario=0&pcontactid=&pident_revista=274&ty=

144&accion=L&origen=zonadelectura&web=http: //zl.elsevier.es&lan=es&fichero=274v13n02a90135099pdf001.pdf

3. Iwata K. An autopsy case of necrotizing fasciitis with rapidly progressive purpura caused by hemolytic streptococcal infection in a patient with rheumatoid arthritis. Mod Rheumatol [Internet]. 2012 [citado 28 Jul 2013]; 21: [aprox. 4p.]. Disponible en: http://web.ebscohost.com/ehost/detail?vid=5&sid=6106aa2d-8929-4777-908e ae78f62857e0%40sessionmgr13&hid=10&bdata=Jmxhbmc9ZXMmc2l0ZT1laG9zdC1saXZl#db=aph&AN=69625011

4. Steffen G, Siqueira EJ, Oliveira MP, Escobar PD. Fasceíte necrotizante após aplicação de injeção intramuscular. Rev Bras Cir Plást [Internet]. 2012 [citado 28 Jul 2013]; 27(4): [aprox. 1.]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752012000400033&lang=pt

5.Ching L, Liang K, Kuo P, Wei H, Tsan H, Chao Y. Prognostic factors and monomicrobial necrotizing fasciitis: gram-positive versus gram-negative Pathogens. BMC Infectious Diseases [Internet]. 2012 [citado 22 Jul 2013]; 11(5): [aprox. 8p.]. Disponible en: http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=6106aa2d-8929-4777-908e ae78f62857e0%40sessionmgr13&vid=5&hid=10

6. Canan G, Hakan B, Özge S, Ergin S, Mehmet O?uz Y, Ahmet K, Can I. Periorbital Necrotizing Fasciitis Caused by Community-Associated Methicillin-Resistant Staphylococcus Aureus Periorbital Necrotizing Fasciitis. Orbit [Internet]. 2010 [citado 12 Jul 2013]; 29(6): [aprox. 3p.]. Disponible en: http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=4&sid=6106aa2d-8929-4777-908e-ae78f62857e0%40sessionmgr13&hid=10

7. Parra Caballero P, Pérez Esteban S, Patiño Ruiz ME, Castañeda Sanz S, García Vadillo JA. Actualización en fascitis necrotizante. Semin Fund Esp Reumatol [Internet]. 2012 [citado 12 Agost 2013]; 13(2): [aprox. 9.]. Disponible en: http://apps.elsevier.es/watermark/ctl_servlet?_f=10&pident_articulo=90135099&pident_usuario=0&pcontactid=&pident_revista=274&ty=

144&accion=L&origen=zonadelectura&web=http://zl.elsevier.es&lan=es&fichero=274v13n02a90135099pdf001.pdf

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Published

2014-08-08

How to Cite

1.
Piloña Ruiz SG, Suárez Garcia N, Vidal Batista Cáceres A, Izquierdo Meralla A, Vara Cuesta OL. Type II Necrotizing Fasciitis as a Dermatological Emergency in a Newborn. Rev Ciencias Médicas [Internet]. 2014 Aug. 8 [cited 2025 Oct. 18];18(4):705-13. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/1584

Issue

Vol. 18 No. 4 (2014)

Section

CASE REPORTS

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