Necrotizing Fasciitis in Children Clinical Characteristics, Diagnostic Procedures, Treatment Methods, and the Outcome Volume 6 - Issue 4

Hakobyan GV¹* Mkrtchyan NM², Hovhannisyan AR³, Asatryan AM⁴ and Khachatrayn GA⁵

¹Head of the Department of Surgical Stomatology and Maxillofacial Surgery, Yerevan State Medical University, Armenia

²Assistant Professor, Department of Surgical Stomatology and Maxillofacial Surgery, Clinic of Pediatric Maxillofacial Surgery and ENT, Muratsan University Hospital Complex, Armenia

³Associate Professor, Department of Plastic Surgery Yerevan State Medical University, Armenia

⁴Resident, Department of Surgical Stomatology and Maxillofacial Surgery, Yerevan State Medical University, Armenia

⁵Head of the Department of Dental Professional and Continuing Education, Yerevan State Medical University, Armenia

Received:August 05, 2021   Published: August 16, 2021

*Corresponding author: Gagik Hakobyan, Head of the Department of Surgical Stomatology and Maxillofacial Surgery, Yerevan State Medical University, Armenia

DOI: 10.32474/IPDOAJ.2021.06.000243

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Abstract

Background: Necrotizing fasciitis is a potentially life-threatening soft tissue infection, characterized by necrosis of the fascia, subcutaneous tissue, adipose tissue and can be fatal. NF is most common in immunocompromised hosts but may also occur in healthy patients without apparent antecedent injury. It is usually caused by either Group A streptococci or a polymicrobial, synergistic infection. The case that we present is unique in the Republic of Armenia, necrotizing fasciitis of the face in a child.

Methods: We report the case of a 3,5-year-old children who were treated for NF in our unit, inclusive, were reviewed retrospectively. Information recorded included medical history, clinical characteristics, diagnostic procedures, treatment methods, and the outcome.

Results: The essence of the treatment was to prevent further development of necrosis, taking the child out of the state of general intoxication, in connection with, early surgical debridement, anti-intoxication, antibacterial therapy were carried out in several stages. In result , auto transplantation by full thickness skin autograft has been done, maintaining the aesthetic appearance of the wound.

Conclusion: Because necrotizing fasciitis is a surgical emergency, the patient should be admitted immediately to a surgical intensive care unit, where the surgical staff is skilled in performing extensive debridement and reconstructive surgery. Despite the fact that it is rare in children, according to our data, it turned out that the reason for the penetration of microorganisms may be an incomplete injection. Clinicians should be aware of these infections, as early treatment can increase survival.

Keywords: Necrotizing fasciitis; debridement; children; soft-tissue infection

Abstract| Introduction| Case Report| Discussion| Conclusions| Conflict of Interest and Financial Disclosure| Consent Statement| References|