Resumo

PILONA RUIZ, Sergio Germán et al. Type II necrotizing fasciitis as a dermatological emergency in a newborn. Rev Ciencias Médicas [online]. 2014, vol.18, n.4, pp. 705-713. ISSN 1561-3194.

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.

Palavras-chave : Necrotizing fascitis; Sepsis; Newborn infant.

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