EC Paediatrics

Mini Review Volume 12 Issue 5 - 2023

Necrotizing Fasciitis in Children: A Review Article

Volkan Sarper Erikci*

Professor, Department of Pediatric Surgery, İzmir Faculty of Medicine, Sağlık Bilimleri University, Tepecik Training Hospital, Izmir, Turkey

*Corresponding Author: Volkan Sarper Erikci, Professor, Department of Pediatric Surgery, İzmir Faculty of Medicine, Sağlık Bilimleri University, Tepecik Training Hospital, Izmir, Turkey.
Received: January 30, 2023; Published: April 25, 2023

Necrotizing fasciitis (NF) is a soft tissue infection with a capability of rapid progression if not treated promptly. It is an extremely rare infectious entity with a prevalance of 0.02% of all pediatric hospital cases [1]. Because of its rarity, correct diagnosis of this disease is usually not possible. In this review article it is aimed to critique the general characteristics of NF in children and the principles of management are discussed under the light of relevant literature.

Keywords: Necrotizing Fasciitis; Children; Surgical Treatment

  1. Pfeifle VA., et al. “Necrotizing fasciitis in children due to minor lesions”. Journal of Pediatric Surgery Case Reports 25 (2017): 52-55.
  2. Fustes-Morales A., et al. “Necrotizing fasciitis: report of 39 pediatric cases”. Archives of Dermatological7 (2002): 393-399.
  3. Clark P., et al. “Necrotizing fasciitis secondary to chickenpox infection in children”. Canadian Journal of Surgery1 (2003): 9-14.
  4. Tyrell GJ., et al. “Varicella-associated invasive group a streptococcal disease in Alberta, Canada 2000-2002”. Clinical Infectious Diseases7 (2005): 1055-1057.
  5. Çiftçi E., et al. “Invasive group A streptococcal infections in children: an emerging infectious disease in Turkey”. Annals of Tropical Paediatrics 24 (2004): 356-366.
  6. Legbo JN and Shehu BB. “Necrotizing fasciitis: experience with 32 children”. Annals of Tropical Paediatrics3 (2005) 183-189.
  7. Frank G., et al. “Musculoskeletal infections in children”. Pediatric Clinics of North America4 (2005): 1083-1106.
  8. Waldhausen JH., et al. “Surgical implications of necrotizing fasciitis in children with chickenpox”. Journal of Pediatric Surgery8 (1996): 1138-1141.
  9. Murphy JJ., et al. “Necrotizing fasciitis in childhood”. Journal of Pediatric Surgery8 (1995): 1131-1134.
  10. Childers BJ., et al. “Necrotizing fasciitis: a fourteen-year retrospective study 0f 163 consecutive patients”. The American Surgeon2 (2002): 109-116.
  11. Moss RL., et al. “Necrotizing fasciitis in children: prompt recognition and aggressive therapy improve survival”. Journal of Pediatric Surgery8 (1996): 1142-1146.
  12. Barnham MR., et al. “Streptococcal toxic shock syndrome: a description of 14 cases from North Yorkshire, UK”. Clinical Microbiology and Infection3 (2002): 174-181.
  13. Wong CH., et al. “Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality”. Journal of Bone and Joint Surgery American 85-A.8 (2003): 1454-1460.
  14. Levine EG and Manders SM. “Life-threatening necrotizing fasciitis”. Clinics in Dermatology2 (2005): 144-147.
  15. Eneli I and Davies HD. “Epidemiology and outcome of necrotizing fasciitis in children: an active surveillance study of the Canadian Paediatric Surveillance Program”. The Journal of Pediatrics1 (2007): 79-84. 84e1.
  16. Abbott RE., et al. “Necrotizing fasciitis in infancy: an uncommon setting and a prognostic disadvantage”. Journal of Pediatric Surgery9 (1999): 1432-1434.
  17. Laupland KB., et al. “Invasive group A streptococcal disease in children and association with varicella-zoster virüs infection. Ontario Group A Streptococcal Study Group”. Pediatrics5 (2000): E60.
  18. Bonhoeffer J., et al. “Prospective surveillance of hospitalisations associated with varisella-zoster virus infections in children and adolescents”. European Journal of Pediatrics6 (2005): 366-370.
  19. Kwak BO., et al. “Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child”. Korean Journal of Pediatrics12 (2014): 538-541.
  20. Shirley R., et al. “Necrotizing fasciitis: a sequelae of varicella zoster infection”. Journal of Plastic, Reconstructive and Aesthetic Surgery1 (2011): 123-127.
  21. Pessa ME and Howard RJ. “Necrotizing fasciitis”. Surgery, Gynecology and Obstetrics 161 (1985): 357-361.
  22. Nazir Z. “Necrotizing fasciitis in neonates”. Pediatric Surgery International8 (2005): 641-644.
  23. Freischlag JA., et al. “Treatment of necrotizing soft tissue infections: the need for a new approach”. The American Journal of Surgery 149 (1985): 751-755.
  24. Norrby-Teglund A., et al. “Successful management of severe group A streptococcal soft tissue infections using an aggressive medical regimen including intravenous polyspecific immunoglobulin together with a conservative surgical approach”. Scandinavian Journal of Infectious Diseases3 (2005): 166-172.
  25. Wakhlu A., et al. “Conservative management of necrotizing fasciitis in children”. Journal of Pediatric Surgery6 (2006): 1144-1148.

Volkan Sarper Erikci., et al. Necrotizing Fasciitis in Children: A Review Article. EC Paediatrics 12.5 (2023):15-18.