Abstract

CUNHA, Otília et al. Necrotizing fasciitis and streptococcal toxic shock in a child with chickenpox infection. Nascer e Crescer [online]. 2011, vol.20, n.2, pp.82-84. ISSN 0872-0754.

Introduction: The necrotizing fasciitis, a severe infection of soft tissues, usually caused by Streptococcus pyogenes, is a rare complication of chickenpox; early diagnosis is uncommon. Case report: We present a case of an eight-year-old child with chickenpox, complicated by a necrotizing fasciitis and streptococcal toxic shock, which required invasive pro­cedures and prolonged hospitalization in an Intensive Care Unit Pediatric. Conclusions: The authors emphasize the importance of the potential complications of chickenpox, particularly the necrotizing fasciitis, as an early diagnosis and intervention are crucial for the outcome. The necrotizing fasciitis should be consid­ered whenever a child with chickenpox presents with erythema, warmth, and induration of the skin and soft tissues, associated with a recurrence of fever or its persistence by the fourth day after the rash onset.

Keywords : chickenpox; necrotizing fasciitis; Streptococcus pyogenes.

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