Piloña RSG, Suárez GN, Batista CAV, Izquierdo MA, Vara COL

Idioma: Español
Referencias bibliográficas: 11
Paginas: 705-713
Archivo PDF: 198.02 Kb.

RESUMEN

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.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Suárez Fernández R. Urgencias en dermatología. Más Dermatología [Internet]. 2012 [citado 12 Agost 2013]; 16.

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).

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. 2012 [citado 28 Jul 2013]; 21.

4. Steffen G, Siqueira EJ, Oliveira MP, Escobar PD. Fasceíte necrotizante após aplicação de injeção intramuscular. Rev Bras Cir Plást . 2012; 27(4):

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; 11(5).

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).

7. Parra Caballero P, Pérez Esteban S, Patiño Ruiz ME, Castañeda Sanz S, García Vadillo JA. Actualización en fascitis necrotizante. Semin Fund Esp Reumatol 2012; 13(2).

8. Pérez LE, Guerra FC, González EG, Pérez YP. Gangrena de Fournier: experiencia de cinco años. Acta Médica del Centro. 2013; 7(1):

9. Silva Bueno M, Yuste Benavente V, Monclús Fuertes E, Rodrigo Palacios J, Gómez-Escolar Larrañaga L, González Peirona E. Tratamiento de la fascitis necrosante por E. Coli mediante desbridamiento quirúrgico y terapia Vac®, a propósito de un caso. Cir plást Iberolatinoam [Internet]. 2011 [citado 8 Agost 2013]; 37(2).

10. Cunha O, Cunha da Mota T, Garcia Lopéz M, Santos E, Lisboa L, Morgado H. Fasceíte necrotizante e síndrome de choque tóxico estreptocócico numa criança com varicela. Nascer e Crescer 2011 8 Agost 2013]; 20(2).

11. Manzani Baldi JR, Rodríguez G. Fascitis necrosante bilateral de diseminación hematógena por Staphylococcus Aureus. Caso pediátrico. Cirugía Plástica Ibero-Latinoamericana. 2011; 37(2): [aprox. 3.].