[Epidemiology, clinical manifestations and microbiology of children with necrotizing fasciitis in a Costa Rican pediatric hospital]. / Epidemiología, manifestaciones clínicas y microbiología de los pacientes con fascitis necrosante en el Hospital Nacional de Niños de Costa Rica.
Rev Chilena Infectol
; 37(4): 446-449, 2020 Aug.
Article
em Es
| MEDLINE
| ID: mdl-33399665
BACKGROUND: Despite the significant associated morbidity of necrotizing fasciitis (NF), few studies have been published and this is the larger pediatric series in Latin America. AIM: To describe the epidemiology, clinical characteristics and microbiology of NF in Costa Rican children. METHODS: Review of clinical and pathological records, period April 2002 to April 2014, in patients under 13 years of age. RESULTS: 19/22 patients met the inclusion requirement, 12 had co-morbidity: 26% with a history of recent surgery and 21% were neonates. Etiology was documented in blood cultures in 26% and by tissue culture in 63% (one third of them polymicrobial). Pseudomonas aeruginosa, Escherichia coli and Staphylococcus aureus were the three most common etiologic agents. Case fatality rate was 42%, one of the highest in our region. CONCLUSION: NF is a serious, unusual pathology, frequently associated with neonatology and post-surgical patients, with a mixed etiology that requires the association of antimicrobials and early surgery. Its lethality is high in our setting, over previously published series.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Fasciite Necrosante
Tipo de estudo:
Screening_studies
Limite:
Child
/
Humans
/
Newborn
País/Região como assunto:
America central
/
Costa rica
Idioma:
Es
Revista:
Rev Chilena Infectol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Costa Rica
País de publicação:
Chile