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Necrotizing Fasciitis Caused by Serratia marcescens After Venous Access Port Implantation in a Child With Acute Lymphoblastic Leukemia

Prelog, Tomaž MD; Jereb, Matjaž MD; Čuček, Igor MD; Jazbec, Janez MD, PhD

Journal of Pediatric Hematology/Oncology: August 2012 - Volume 34 - Issue 6 - p e246–e248
doi: 10.1097/MPH.0b013e318253f047
Online Articles: Clinical and Laboratory Observations

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.

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: prelog.tomaz@gmail.com).

Received May 4, 2011

Accepted March 3, 2012

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.