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CASE REPORT
Year : 2016  |  Volume : 13  |  Issue : 1  |  Page : 44-46

Early diagnosis of post-varicella necrotising fasciitis: A medical and surgical emergency


Department of Paediatrics, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India

Correspondence Address:
Rose Xavier
Flat GC, Kaizen Retreat, Mission Quarters Road, Thrissur - 680 001, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-6725.181707

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Necrotising fasciitis (NF) is an extremely rare complication of a rather common paediatric viral exanthem varicella. Delayed diagnosis and treatment can lead to significant morbidity and mortality. Laboratory risk indicator of NF score aids in early clinical diagnosis in suspected cases of post-varicella NF thus enabling timely intervention. Surgery delayed for more than 24 hours, is an independent risk factor for death. Surgical debridement with good antibiotic coverage is the definitive treatment for NF.


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