2018, Number 3
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Enf Infec Microbiol 2018; 38 (3)
Complicated chickenpox with Fournier gangrene associated with nonsteroidal anti-inflammatory drugs (NSAIDS) use in a child
De Lara HJ, Alanís EC, Zermeño GE, Moreno VJ, Santos CL, Reyes HKL, Reyes GU, López CG, Matos ALJ, Gutiérrez OCH
Language: Spanish
References: 16
Page: 93-98
PDF size: 360.84 Kb.
ABSTRACT
We present the case of a male infant with varicella, who received naproxen and paracetamol in the first days, later
he developed a volume increase in the right inguinal region, painful and serohematic secretion in the right perineal
area. Patients was hospitalized and treatment was started with acyclovir, clindamycin plus amikacin. Inguinoescrotal
US was done founding multiple abscesses.
Streptococcus pyogenes and
Staphylococcus aureus were cultured from
the secretion. Extensive debridement was performed and a VAC system was subsequently applied. One month later,
grafts were performed in the perineal area, a month later their management was assessed as external. Importance
of varicella vaccine application is emphasized, to avoid this type of complications. Avoid self-medication with NSAIDS
is necessary. An early diagnosis of perineal lesions is necessary to avoid the high mortality of these complications.
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