Necrotizing fasciitis.

ABSTRACT

Necrotizing fasciitis (NF) is a life threatening soft tissue infection usually associated with the trauma and immunodeficiency. We report a case of necrotizing fasciitis spreading from the chest wall in a healthy infant with a history of betamethasone intake for a month. Coagulase negative Staphylococcus aureus (CONS) was isolated from the blood culture. Child succumbed to necrotizing fasciitis due to multi-organ dysfunction and spreading gangrene. Early debridement and appropriate antibiotic therapy in an intensive care setup may improve the outcome. Oral betamethasone drops sold over the counter without prescription in India may be make the children vulnerable to serious infections.