Otherwise Healthy 15-Month-Old With Rapid-Onset Soft Tissue SwellingAnderson, Julie Jelaine DO; Avendano, Pablo MD, MPH; Kaila, Rahul MDPediatric Emergency Care: August 2019 - Volume 35 - Issue 8 - p e138–e140 doi: 10.1097/PEC.0000000000001888 Illustrative Cases Buy Abstract Author InformationAuthors Article MetricsMetrics 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: email@example.com). Online date: July 13, 2019 Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.