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Revista Mexicana de Pediatría

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2008, Number 1

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Rev Mex Pediatr 2008; 75 (1)

Necrotizing infection of soft tissues: A variant of Fournier’s gangrene in children

Ramírez TG, Almazán GB, González AG, Huerta RJF
Full text How to cite this article

Language: Spanish
References: 9
Page: 18-21
PDF size: 122.04 Kb.


Key words:

Necrotizing fasciitis, Fournier gangrene, Pseudomonas aeruginosa.

ABSTRACT

This is the case of a boy treated with chemotherapy and the extirpation of an hepatoblastoma in 2004; he came to the hospital because a dermatological infection. The clinical examination show that he had fever ecchymoses, an anal fissure and edema in the scrotum. The laboratory exams show that he had neutropenia. He was treated with antibiotics but the dermatological infection extends on the skin showing up changes in coloration, more flictenes and necrotizing fasciitis. The bacteriological studies shown Pseudomonas aeruginosa and Staphylococcus coag. neg. He was treated with vancomycin, meropenem and metronidazol le metronidazole and was treated by a surgical cleaning of the skin. Days after that go out of the hospital.


REFERENCES

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  2. Silva-Villaseñor JA, Velázquez-Macías RF, Suárez JJ, Galván Montano A, Quintos-Aranda C. Founier’s gangrene in a newborn. Bol Med Hosp Infant Mex 1990; 47: 48-50.

  3. Eke N. Fournier’s gangrene: A review of 1,726 cases. Br J Surg 2000; 87: 718-28.

  4. Guneren E, Keskin M, Uysal OA, Artiturk E, Kalayci AG. Fournier’s gangrene as a complication of varicella in a 15-month-old boy. J Pediatr Surg 2002; 37: 1632-3.

  5. Adams JR Jr, Mata JA, Venable DD, Culkin DJ, Bocchini JA Jr. Fournier’s gangrene in children. Urology 1990; 35: 439-41.

  6. Domínguez MOR, Vázquez TO. Fascitis necrosante. Reporte de un caso pediátrico. Rev Enf Infec Ped 1998; 10(43): 110-3.

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  9. Gosi G, Munch Z. Fournier’s gangrene: Early diagnosis is the best remedy. Magy Seb 2002; 55: 27-30.




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Rev Mex Pediatr. 2008;75