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Cited by (44)
Necrotizing fasciitis in children due to minor lesions
2017, Journal of Pediatric Surgery Case ReportsCitation Excerpt :The authors found, that patients with varicella who present two or three days after the outbreak of the disease with fever, tachycardia, elevated leucocyte and an erythematous, indurated lesion with severe pain are at high risk of developing NF and therefore they recommend immediate surgical exploration. The authors specifically show that out of the investigated parameters increased leucocytes was the most predictive indicator to distinguish between the misdiagnosis of cellulitis and NF [5]. We could also observe this in our first case, where the patient with varicella infection had an extremely high WBC of 43,4 × 109/l. Overall laboratory findings to our mind are not the most relevant parameters to decide whether NF is to be suspected or not.
Laboratory evaluation for pediatric patients with suspected necrotizing soft tissue infections: A case-control study
2016, Journal of Pediatric SurgeryCitation Excerpt :In addition, patient age and the primary anatomic location of infection were similar between groups, and the duration of symptoms prior to presentation was only one day longer on average among non-NSTI patients. While none of our NSTI patients endorsed a recent history of varicella, this is a well-recognized risk factor for NSTI and should be elicited during patient interviews [14,15]. While clinical signs and history may not lead to early diagnosis of NSTI, imaging modalities generally lack specificity for identifying NSTI, may be time-intensive, and are not always readily available [1,16,17].
Necrotizing Soft Tissue Infections
2014, Microbiology for Surgical Infections: Diagnosis, Prognosis and TreatmentSurgery for suspected rotation abnormality: Selection of open vs laparoscopic surgery using a rational approach
2012, Journal of Pediatric SurgeryNecrotising fasciitis: A sequelae of varicella zoster infection
2011, Journal of Plastic, Reconstructive and Aesthetic SurgerySurgical Infectious Disease
2010, Ashcraft's Pediatric Surgery
Presented at the 1995 Annual Meeting of the Section on Surgery of the American Academy of Pediatrics, San Francisco, California, October 13–15, 1995.