NECROSING FASCITIS IN THE CHEST REGION OF NEWBORN
DOI:
https://doi.org/10.36557/2674-8169.2023v5n5p3735-3747Keywords:
Necrotizing fasciitis; children; debridement; antibiotic therapy.Abstract
Necrotizing fasciitis is a soft tissue infection, with necrosis of the subcutaneous tissue, with a rapid and aggressive course. It affects all age groups, being rare in children and newborns, however, potentially fatal if not diagnosed and treated early. The present work aims to present a case report of a 12-day-old newborn hospitalized for an abscess in the right breast that progressed to necrotizing fasciitis. The patient started with an abscess in the right breast, which quickly progressed to tachycardia, groaning, skin mottling, cold extremities and slow capillary refill time, requiring admission to the Intensive care units . Debridement and initiation of antibiotic therapy were performed within the recommended time frame. During hospitalization, it was necessary to install a Tenckhoff catheter and use vasoactive drugs. On the day of discharge, the patient was in good general condition, with the wound healing. Attention to warning signs that contribute to early diagnosis, early treatment with broad-spectrum antibiotic therapy and surgical debridement within 24 hours, and adequate management of complications are essential for the patient's positive outcome.
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Copyright (c) 2023 Kelson Rudy Ferrarini, Maria Luiza Bom-Ami Barros Mees, Luiza Fátima Krokoscz Martignoni, Maria Eduarda Pfau, Eduardo Augusto Pfau
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