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KOPYSC Z 《Pediatria polska》1956,31(11):1239-1241
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Polyarthritis associated with chickenpox 总被引:1,自引:0,他引:1
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Vijaykumar Rao PS Bhat N Chattopadhyay A Nagendhar MY 《Indian journal of pediatrics》2003,70(12):961-963
Necrotizing fasciitis can be observed in a wide variety of clinical settings in the pediatric age group. But necrotizing fasciitis
as a complication of chickenpox is rare. Five cases of necrotizing fasciitis following chickenpox were treated in the authors’
institutions. Clinical signs like fever, tachycardia, pallor, erythema, marked edema of the affected area and patchy areas
of discoloration or gangrene of the skin were present and were the important clues to the seriousness of infection. Patients
were treated with aggressive surgical debridement, frequent dressings, broad-spectrum antibiotics, nutritional support, and
split skin grafting. Early diagnosis and aggressive surgical therapy are critical. Literature search showed necrotizing fasciitis
following chickenpox has not been reported in India. We feel early suspicion and aggressive management can decrease the morbidity
and mortality in this rare complication. 相似文献
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