Fournier's Gangrene Associated with Local Cutaneous HPV Lesions in a Previously Healthy Girl.

A case of an 11-year-old prepubertal girl with Fournier's gangrene is presented. The diagnosis was posed after the disease had progressed to the typical clinical picture of frank gangrene. A benign viral infection, common warts, possibly represents the initiating event of the development of this necrotizing soft tissue infection. The development of childhood Fournier's gangrene in association with viral infections has been reported in the past. An optimal outcome was achieved by aggressive antibiotic and surgical treatment despite the late diagnosis. In children, Fournier's gangrene develops in previously healthy individuals with benign diseases often representing the initiating events; thus, high index of suspicion is necessary for an early diagnosis that will lead to the optimal outcome.

Urinary tract infection caused by Shigella sonnei.

This report describes a case of urinary tract infection caused by Shigella sonnei in a 6-y-old girl with vesicoureteric reflux and a preceding history of gastroenteritis. The strain was resistant to ampicillin and cotrimoxazole, and treatment with cefotaxime eradicated the infection. The role of Shigellae as urinary tract pathogens is reviewed and possible sources of infection are discussed.