Cervico-thoracic necrotizing fasciitis in an adolescent: Delayed presentation, staged treatment, and long-term follow-up

Sergey Klyuev; Ashok Rijwani; Yvonne Ying; Acquoi Mulbah; Sandra Smith-Johnson; Fred Moses

doi:10.5281/zenodo.15571002

Authors

Sergey Klyuev Saratov State Medical University named after V. I. Razumovsky, Department of Pediatric Surgery, Saratov, Russia https://orcid.org/0000-0002-3217-6874
Ashok Rijwani Oxford University Hospitals NHS Foundation Trust, Department of Pediatric Surgery, London, United Kingdom https://orcid.org/0000-0002-3903-959X
Yvonne Ying University of Ottawa, CHEO, Ottawa, Canada https://orcid.org/0000-0002-2023-8169
Acquoi Mulbah Department of Pediatric Anesthesia, Medecin San Frontier Children Hospital, Liberia https://orcid.org/0009-0005-2875-639X
Sandra Smith-Johnson Department of Pediatric Anesthesia, Medecin San Frontier Children Hospital, Liberia https://orcid.org/0009-0001-9473-2231
Fred Moses Department of Nursing, Medecin San Frontier Children Hospital, Liberia https://orcid.org/0009-0002-5988-2872

DOI:

https://doi.org/10.5281/zenodo.15571002

Keywords:

Necrotizing infection, necrotizing fasciitis, adolescents, flap closure with z-plasty

Abstract

Necrotizing fasciitis (NF) is a severe soft tissue infection characterized by rapid progression and significant morbidity and mortality. It predominantly affects immunocompromised adults, with cases in previously healthy adolescents are relatively rare. This case report describes the clinical presentation, diagnosis, and successful staged management of necrotizing fasciitis in a previously healthy 15-year-old male. The purpose of this report is to highlight the importance of early recognition, prompt surgical intervention, and multidisciplinary management in achieving a favorable outcome in pediatric patients with NF. By sharing this case, we aim to increase awareness and facilitate early diagnosis, ultimately improving patient outcomes.

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