|
|
| Year : 2017 | Volume
: 14
| Issue : 3 | Page : 59 |
|
| Post-varicella necrotising fasciitis |
|
|
Viroj Wiwanitkit
Department of Community Medicine, Dr DY Patil University, Mumbai, Maharashtra, India
Click here for correspondence address and email
| Date of Web Publication | 19-Mar-2018 |
|
|
 |
|
How to cite this article:
Wiwanitkit V. Post-varicella necrotising fasciitis. Afr J Paediatr Surg 2017;14:59 |
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.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
 References | |  |
| 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.  [ PUBMED] [Full text] |
| 2. | Lim JB, Huntley JS. Musculoskeletal sequelae of Varicella-zoster infection: Two case reports. Scott Med J 2012;57:121. |
| 3. | Slack CL, Allen GC, Morrison JE, Garren KC, Roback MG. Post-varicella epiglottitis and necrotizing fasciitis. Pediatrics 2000;105:e13. [ PUBMED] |
| 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. [ PUBMED] |
Correspondence Address:
Prof. Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok 10160
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ajps.AJPS_48_16
|
|
|
|
|
|
|
|
|
|
