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Revista chilena de infectología

versión impresa ISSN 0716-1018

Resumen

NARANJO-ZUNIGA, Gabriela et al. Epidemiology, clinical manifestations and microbiology of children with necrotizing fasciitis in a Costa Rican pediatric hospital. Rev. chil. infectol. [online]. 2020, vol.37, n.4, pp.446-449. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182020000400446.

Background:

Despite the significant associated morbidity of necrotizing fasciitis (NF), few studies have been published and this is the larger pediatric series in Latin America.

Aim:

To describe the epidemiology, clinical characteristics and microbiology of NF in Costa Rican children.

Methods:

Review of clinical and pathological records, period April 2002 to April 2014, in patients under 13 years of age.

Results:

19/22 patients met the inclusion requirement, 12 had co-morbidity: 26% with a history of recent surgery and 21% were neonates. Etiology was documented in blood cultures in 26% and by tissue culture in 63% (one third of them polymicrobial). Pseudomonas aeruginosa, Escherichia coli and Staphylococcus aureus were the three most common etiologic agents. Case fatality rate was 42%, one of the highest in our region.

Conclusion:

NF is a serious, unusual pathology, frequently associated with neonatology and post-surgical patients, with a mixed etiology that requires the association of antimicrobials and early surgery. Its lethality is high in our setting, over previously published series.

Palabras clave : necrotizing fasciitis; soft tissue infections; children; microbiology; Latin America.

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