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LETTER TO THE EDITOR Table of Contents   
Year : 2017  |  Volume : 14  |  Issue : 3  |  Page : 59
Post-varicella necrotising fasciitis


Department of Community Medicine, Dr DY Patil University, Mumbai, Maharashtra, India

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Date of Web Publication19-Mar-2018
 

How to cite this article:
Wiwanitkit V. Post-varicella necrotising fasciitis. Afr J Paediatr Surg 2017;14:59

How to cite this URL:
Wiwanitkit V. Post-varicella necrotising fasciitis. Afr J Paediatr Surg [serial online] 2017 [cited 2018 Dec 14];14:59. Available from: http://www.afrjpaedsurg.org/text.asp?2017/14/3/59/227847
Sir,

The report on 'necrotising fasciitis (NF)' is very interesting.[1] Xavier et al. mentioned that 'NF should be suspected in post-varicella cellulitis, not responding to adequate antibiotic therapy'[1] and also concluded that 'Laboratory Risk Indicator for Necrotising Fasciitis score aids in early diagnosis, where imaging studies are pending'.[1] Indeed, the varicella is not an uncommon viral infection. This infection is seen worldwide. The risk factors for post-varicella NF are an interesting topic. As noted by Lim and Huntley, 'although rare, musculoskeletal sequelae (osteomyelitis, septic arthritis, pyomyositis and NF) can occur in otherwise healthy children'.[2] This varicella complication should be well monitored in all cases. Sometimes, the other deadly concomitant complications such as respiratory tract problem can also be seen.[3] Finally, although varicella vaccine is available, the infection in case receiving vaccination is possible [4] and this can be the most difficult case to diagnose if the post-varicella NF occurs.

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   References Top

1.
Xavier R, Abraham B, Cherian VJ, Joseph JI. Early diagnosis of post-varicella necrotising fasciitis: A medical and surgical emergency. Afr J Paediatr Surg 2016;13:44-6.  Back to cited text no. 1
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2.
Lim JB, Huntley JS. Musculoskeletal sequelae of Varicella-zoster infection: Two case reports. Scott Med J 2012;57:121.  Back to cited text no. 2
    
3.
Slack CL, Allen GC, Morrison JE, Garren KC, Roback MG. Post-varicella epiglottitis and necrotizing fasciitis. Pediatrics 2000;105:e13.  Back to cited text no. 3
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4.
Tafuri S, Martinelli D, Prato R, Germinario C. Vaccine effectiveness evaluation during a varicella outbreak among children of primary schools and day-care centers in a region which adopted UMV. Hum Vaccin Immunother 2013;9:184-8.  Back to cited text no. 4
[PUBMED]    

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Correspondence Address:
Prof. Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok 10160
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajps.AJPS_48_16

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