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Case Reports in Pediatrics
Volume 2014, Article ID 818059, 3 pages
http://dx.doi.org/10.1155/2014/818059
Case Report

Necrotizing Fasciitis of the Chest in a Neonate in Southern Nigeria

1Plastic Surgery Unit, Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
2Plastic Surgery Unit, Department of Surgery, Ambrose Alli University, PMB 08, Ekpoma, Edo State, Nigeria
3Cardiothoracic Surgery Unit, Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
4Special Care Baby Unit, Department of Paediatrics, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

Received 1 September 2014; Revised 25 November 2014; Accepted 27 November 2014; Published 30 December 2014

Academic Editor: Carmelo Romeo

Copyright © 2014 Oluwafemi Olasupo Awe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We discuss the successful saving of a male neonate with necrotizing fasciitis of the chest following a hot fomentation of the umbilicus with exposure of the ribs and the pleural space on the right side. He recovered 5 weeks after admission. We stressed the need to recognize necrotizing fasciitis extending from the upper anterior abdominal wall to the chest following hot fomentation of the umbilicus. The need for multidisciplinary cooperation for excellent outcome is very important, that is, neonatologist, medical microbiologist, and plastic and chest surgeons.