Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child
Varicella is usually considered to be a benign disease in healthy children; however, serious complications can occur such as necrotizing fasciitis and toxic shock syndrome. We describe a 38-month-old girl with necrotizing fasciitis and streptococcal toxic shock syndrome following varicella. She was...
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Korean Pediatric Society
2014-12-01
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doaj-7895946a19774297b6a0fbe0bfa7cec02020-11-24T21:58:55ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582014-12-01571253854110.3345/kjp.2014.57.12.5382014600009Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy childByung Ok Kwak0Min Jung Lee1Hye Won Park2Min Kyung Song3Sochung Chung4Kyo Sun Kim5Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.Department of Pediatrics, Konkuk University School of Medicine, Seoul, Korea.Varicella is usually considered to be a benign disease in healthy children; however, serious complications can occur such as necrotizing fasciitis and toxic shock syndrome. We describe a 38-month-old girl with necrotizing fasciitis and streptococcal toxic shock syndrome following varicella. She was previously healthy and vaccinated against varicella at 12 months of age. She had been diagnosed with varicella three days prior to presenting at our facility; she developed fever, vomiting, and painful swelling on her left flank. Her skin lesions worsened, she became lethargic, and had episodes of hypotension and coagulopathy. Necrotizing fasciitis on the left abdominal wall, buttocks, and left thigh was diagnosed by magnetic resonance imaging, and group A Streptococcus was isolated from a tissue culture. She was diagnosed as necrotizing fasciitis and streptococcal toxic shock syndrome, and successfully treated with repeated surgical debridement and fasciotomy, in addition to intensive antibiotics. Our experience suggests that necrotizing fasciitis in patients with varicella should be considered to be a rare complication even with widespread vaccine use. Early diagnosis and intensive treatment are required to prevent a fatal outcome.http://kjp.or.kr/upload/pdf/kjped-57-538.pdfChickenpoxNecrotizing fasciitisStreptococcus pyogenesChild |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Byung Ok Kwak Min Jung Lee Hye Won Park Min Kyung Song Sochung Chung Kyo Sun Kim |
spellingShingle |
Byung Ok Kwak Min Jung Lee Hye Won Park Min Kyung Song Sochung Chung Kyo Sun Kim Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child Korean Journal of Pediatrics Chickenpox Necrotizing fasciitis Streptococcus pyogenes Child |
author_facet |
Byung Ok Kwak Min Jung Lee Hye Won Park Min Kyung Song Sochung Chung Kyo Sun Kim |
author_sort |
Byung Ok Kwak |
title |
Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child |
title_short |
Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child |
title_full |
Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child |
title_fullStr |
Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child |
title_full_unstemmed |
Necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child |
title_sort |
necrotizing fasciitis and streptococcal toxic shock syndrome secondary to varicella in a healthy child |
publisher |
Korean Pediatric Society |
series |
Korean Journal of Pediatrics |
issn |
1738-1061 2092-7258 |
publishDate |
2014-12-01 |
description |
Varicella is usually considered to be a benign disease in healthy children; however, serious complications can occur such as necrotizing fasciitis and toxic shock syndrome. We describe a 38-month-old girl with necrotizing fasciitis and streptococcal toxic shock syndrome following varicella. She was previously healthy and vaccinated against varicella at 12 months of age. She had been diagnosed with varicella three days prior to presenting at our facility; she developed fever, vomiting, and painful swelling on her left flank. Her skin lesions worsened, she became lethargic, and had episodes of hypotension and coagulopathy. Necrotizing fasciitis on the left abdominal wall, buttocks, and left thigh was diagnosed by magnetic resonance imaging, and group A Streptococcus was isolated from a tissue culture. She was diagnosed as necrotizing fasciitis and streptococcal toxic shock syndrome, and successfully treated with repeated surgical debridement and fasciotomy, in addition to intensive antibiotics. Our experience suggests that necrotizing fasciitis in patients with varicella should be considered to be a rare complication even with widespread vaccine use. Early diagnosis and intensive treatment are required to prevent a fatal outcome. |
topic |
Chickenpox Necrotizing fasciitis Streptococcus pyogenes Child |
url |
http://kjp.or.kr/upload/pdf/kjped-57-538.pdf |
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