title: Is it acute omphalitis or necrotizing fasciitis? Report of three fatal cases.
abstract: We describe 3 Costa Rican newborns that developed acute omphalitis, complicated with fulminant abdominal wall and genital necrotizing fasciitis. The emergency practitioner should be capable of distinguishing promptly between acute omphalitis and early necrotizing fasciitis. Prompt medical treatment and surgical debridement should be encouraged to decrease the high associated morbidity and mortality rates.
authors.affiliation: Servicio de Infectología, Hospital Nacional de Niños de Costa Rica, Dr. Carlos Sáenz Herrera, San José, Costa Rica. rolandoug@racsa.co.cr
authors.forename: Rolando
authors.initials: R
authors.lastname: Ulloa-Gutierrez
authors.forename: Hernan
authors.initials: H
authors.lastname: Rodríguez-Calzada
authors.forename: Leda
authors.initials: L
authors.lastname: Quesada
authors.forename: Ana
authors.initials: A
authors.lastname: Arguello
authors.forename: Maria L
authors.initials: ML
authors.lastname: Avila-Aguero
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D004635:Emergency Medicine / Q000379:methods; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000628:therapy; D017809:Fatal Outcome; D018934:Fournier Gangrene / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014472:Umbilicus
chemical_list: D000900:Anti-Bacterial Agents