Early recognition of neonatal abdominal wall necrotizing fasciitis.

  title={Early recognition of neonatal abdominal wall necrotizing fasciitis.},
  author={Robert S. Sawin and Robert Schaller and David Tapper and Alan V. Morgan and Jennifer Cahill},
  journal={American journal of surgery},
  volume={167 5},
Necrotizing fasciitis (NF) of the abdominal wall occurring in newborns is associated with a 50% mortality rate. Improved survival requires early diagnosis followed by aggressive surgical débridement. During a 10-year period, we treated 7 infants who developed NF. During the same period, 32 infants were admitted with omphalitis that did not progress to NF. The patients with omphalitis and those with NF were compared. Tachycardia, abnormal white blood cell counts, induration, and violaceous skin… CONTINUE READING