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Paediatrics
Polymicrobial lower extremity necrotising fasciitis in a young toddler with sepsis
  1. Nicholas Kenneth Nordstrom1,
  2. Madison Miranda1,
  3. Federico G Seifarth2 and
  4. Joseph David Drews2
  1. 1Department of Surgery, WVU, Morgantown, West Virginia, USA
  2. 2Division of Pediatric Surgery, WVU, Morgantown, West Virginia, USA
  1. Correspondence to Dr Federico G Seifarth; Federico.seifarth{at}hsc.wvu.edu

Abstract

This is a case of a female toddler presenting with a minor injury to the right lower extremity with progressively worsening erythema and oedema. Initial workup revealed elevated inflammatory markers and imaging with significant soft tissue gas. The overall clinical presentation was highly suggestive of a necrotising soft tissue infection. The patient was expeditiously managed with fluid resuscitation, intravenous antibiotics and admission to intensive care. The patient required multiple operative interventions for excisional debridement of grossly necrotic soft tissue and fascia with eventual achievement of healthy wound margins amenable to reconstruction with skin grafting.

  • Paediatrics
  • Paediatric Surgery
  • Failure to thrive

https://doi.org/10.1136/bcr-2024-262142

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: NKN, MM, FGS and JDD. The following authors gave final approval of the manuscript: NKN, MM, FGS and JDD. Is the patient one of the authors of this manuscript? No. NKN is the guarantor.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.