Cervical necrotizing fasciitis in children under two years of age.
We present two cases of life-threatening, necrotizing infections of the head and neck region, a rare infectious process in young children, that progressed to bacteremia and sepsis in two toddlers. To date there have been no reports of cervical necrotizing fasciitis in toddlers under two years of age. Immunocompromised children may be at higher risk for developing fulminent infections. Optimal management requires a combination of medical and surgical interventions. An aggressive surgical approach may be required to adequately clear the infection.
Department of Otolaryngology and Head & Neck Surgery, Tufts Medical Center, Boston, MA, USA. vchung@tuftsmedicalcenter.org
Victor
V
Chung
Andrew
A
Scott
D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007223:Infant; D008297:Male; D009333:Neck / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D013524:Surgical Flaps / Q000098:blood supply*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology