• Pediatric emergency care · Sep 2005

    Case Reports

    Is it acute omphalitis or necrotizing fasciitis? Report of three fatal cases.

    • Rolando Ulloa-Gutierrez, Hernan Rodríguez-Calzada, Leda Quesada, Ana Arguello, and Maria L Avila-Aguero.
    • Servicio de Infectología, Hospital Nacional de Niños de Costa Rica, Dr. Carlos Sáenz Herrera, San José, Costa Rica. rolandoug@racsa.co.cr
    • Pediatr Emerg Care. 2005 Sep 1; 21 (9): 600-2.

    AbstractWe describe 3 Costa Rican newborns that developed acute omphalitis, complicated with fulminant abdominal wall and genital necrotizing fasciitis. The emergency practitioner should be capable of distinguishing promptly between acute omphalitis and early necrotizing fasciitis. Prompt medical treatment and surgical debridement should be encouraged to decrease the high associated morbidity and mortality rates.

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