Nigerian Journal of Postgraduate Medicine

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Omphalitis Complicated By Necrotizing Fasciitis And Abdominal Muscle Gangrene In A 33 Day Old Infant A Case Report.

AO Ademuyiwa, OA Swande, UE Usang, TIB Bakare, O Adejuyigbe


Background: Necrotizing fasciitis is generally rare in the neonatal period. When it does occur, it carries a high risk of morbidity and mortality.
Methods: Case records of the patient was retrieved and relevant information about clinical presentation, resuscitation, care and outcome extracted
Results: A 33-day old infant presented with 24hour history of anterior abdominal wall discoloration and 8hour history of bowel
evisceration. Efforts at resuscitation, challenge of skin cover and attempt at improvisation of silo are presented as well as
the final outcome.
Conclusion: Although necrotizing fasciitis of the anterior abdominal wall is rare in neonates, the morbidity and mortality associated with it is very high as this case report has shown. Early presentation and availability of neonatal
intensive care may improve survival.

Keywords: infant, necrotizing fasciitis, burst abdomen
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