Necrotizing Fasciitis Caused by Serratia marcescens After Venous Access Port Implantation in a Child With Acute Lymphoblastic LeukemiaPrelog, Tomaž MD; Jereb, Matjaž MD; Čuček, Igor MD; Jazbec, Janez MD, PhDJournal of Pediatric Hematology/Oncology: August 2012 - Volume 34 - Issue 6 - p e246–e248 doi: 10.1097/MPH.0b013e318253f047 Online Articles: Clinical and Laboratory Observations Abstract Author Information Abstract Necrotizing fasciitis is a potentially life-threatening infection of deep skin layers and subcutaneous tissues that can easily spread across the fascia plate and is usually the result of a combined infection with anaerobic and aerobic microorganisms. The patient typically complains of excruciating pain, which is not necessarily in accordance with clinical signs. Early recognition of the condition is very important, and aggressive treatment with a combination of antibiotics and surgical procedure is crucial. We present a case of a 15-year-old girl with acute lymphoblastic leukemia who developed necrotizing fasciitis after venous access port implantation during induction chemotherapy. Author Information Departments of *Haemato-Oncology, University Children’s Hospital †Infectious Diseases and Febrile Illnesses ‡Surgical Infections, University Medical Centre Ljubljana, Ljubljana, Slovenia The authors declare no conflict of interest. Reprints: Tomaž Prelog, MD, Department of Haemato-Oncology, University Children’s Hospital, University Medical Centre Ljubljana, Bohoričeva ul. 20, 1000 Ljubljana, Slovenia (e-mail: email@example.com). Received May 4, 2011 Accepted March 3, 2012 Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.