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Otherwise Healthy 15-Month-Old With Rapid-Onset Soft Tissue Swelling

Anderson, Julie Jelaine DO; Avendano, Pablo MD, MPH; Kaila, Rahul MD

doi: 10.1097/PEC.0000000000001888
Illustrative Cases

Necrotizing soft tissue infections are a serious medical emergency that involve necrosis within the soft tissue space including the dermis, subcutaneous tissue, superficial fascia, deep fascia, and muscle. Inciting factors include recent varicella infection, omphalitis, trauma, intramuscular injections, perianal trauma, and surgery. Unlike adult cases, children presenting with necrotizing soft tissue infections are more likely to be immunocompetent and without underlying chronic illnesses. Although rare in children, familiarity with the clinical manifestations of necrotizing soft tissue infections is essential for early diagnosis and surgical debridement, as significant mortality is associated with advanced disease.

From the University of Minnesota, Minneapolis, MN.

Disclosure: The authors declare no conflict of interest.

Reprints: Julie Jelaine Anderson, DO, Pediatric Emergency Medicine, 6th Floor East Building, Delivery Code 8952G, 2450 Riverside Ave, Minneapolis, MN 55454 (e-mail:

Online date: July 13, 2019

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