title: Necrotizing fasciitis: a case report of a premature infant with necrotizing enterocolitis.
abstract: Necrotizing fasciitis (NF) is a severe infection involving the superficial fascia, subcutaneous tissue, and, occasionally, deeper tissue layers. Usual treatment is with surgical debridement in combination with antibiotics. In review of the literature there is one neonatal report of NF associated with necrotizing enterocolitis. We present a case report of a 25 week gestation infant with necrotizing fasciitis and the complexity of wound and pain management presented for the nursing staff in the neonatal intensive care unit.
authors.affiliation: Children's Hospital Boston, Boston, MA, USA. Denise.casey@childrens.harvard.edu
authors.forename: Denise M
authors.initials: DM
authors.lastname: Casey
authors.forename: Karen
authors.initials: K
authors.lastname: Stebbins
authors.forename: Victoria
authors.initials: V
authors.lastname: Howland
mesh_terms: D015897:Comorbidity; D003646:Debridement; D020345:Enterocolitis, Necrotizing / Q000150:complications* / Q000451:nursing* / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000150:complications* / Q000451:nursing* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000451:nursing* / Q000601:surgery; D008297:Male; D054843:Negative-Pressure Wound Therapy; D010348:Patient Care Team; D014870:Water Loss, Insensible
keywords: Necrotizing fasciitis; Pain management; Premature infant; Wound management