title: Surgical implications of pseudomonas aeruginosa necrotizing fasciitis in a child with acute lymphoblastic leukemia.
abstract: Necrotizing fasciitis caused by Pseudomonas aeruginosa is extremely rare. Only 4 cases were reported in the literature. The authors report the occurrence of P aeruginosa necrotizing fasciitis starting out as a vulval abscess in a girl before induction chemotherapy for acute lymphoblastic leukemia. To our knowledge, this is the second case described in association with leukemia. In this case, the outcome was favorable because of early surgical intervention, confirming the diagnosis. J Pediatr Surg 36:948-950.
authors.affiliation: Division of Pediatric Hematology and Oncology, Department of Medicine, Chang Gung Children's Hospital, Taoyuan, Taiwan.
authors.forename: T H
authors.initials: TH
authors.lastname: Jaing
authors.forename: C S
authors.initials: CS
authors.lastname: Huang
authors.forename: C H
authors.initials: CH
authors.lastname: Chiu
authors.forename: Y C
authors.initials: YC
authors.lastname: Huang
authors.forename: M S
authors.initials: MS
authors.lastname: Kong
authors.forename: W M
authors.initials: WM
authors.lastname: Liu
mesh_terms: D002675:Child, Preschool; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000382:microbiology*; D011550:Pseudomonas aeruginosa; D013524:Surgical Flaps; D014845:Vulvar Diseases / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy