Staphylococcal neonatal necrotising fasciitis: survival without radical debridement.
Necrotising fasciitis is a serious infection associated with high morbidity and mortality. The conventional treatment is radical resection of the involved area with antibiotic as well as intensive supportive therapy. We describe a case of extensive truncal necrotising fasciitis in a neonate, secondary to Staphylococcus aureus infection successfully treated with intensive antibiotic therapy and multi-organ support, followed by fasciotomies, drainage and betadine irrigation. The successful outcome without radical resection could be due to the viability of superficial skin, S aureus as the causative organism and the excellent blood supply of cutaneous neonatal tissue.
Chen
J W
JW
Department of Surgery, Dunedin School of Medicine.
Broadbent
R S
RS
Thomson
I A
IA
D000900:Anti-Bacterial Agents; D003646:Debridement; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000401:mortality / Q000628:therapy*; D000071938:Fasciotomy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D013203:Staphylococcal Infections / Q000401:mortality / Q000628:therapy*; D007507:Therapeutic Irrigation
D000900:Anti-Bacterial Agents