Darmasseelane Karthik, Banks Teresa, Rjabova Tatiana
Department of Paediatrics, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.
BMJ Case Rep. 2018 Jun 21;2018:bcr-2018-225018. doi: 10.1136/bcr-2018-225018.
Necrotising fasciitis (NF) is an infrequent yet significant complication of primary varicella infection in immunocompetent children. We report a case of a 4-year-old girl who presented three days into her chicken pox illness, with a rapidly progressing, severely tender erythematous rash surrounding one chicken pox lesion on her thigh. She required intravenous antibiotics, two surgical debridements, a skin graft and a prolonged stay in the paediatric intensive care unit, but ultimately we were able to save her life and limb. NF is a rare complication of chicken pox that has high morbidity and mortality that requires prompt and specific treatment.
坏死性筋膜炎（NF）是免疫功能正常儿童原发性水痘感染中一种罕见但严重的并发症。我们报告一例4岁女孩，她在水痘发病三天后出现大腿上一个水痘皮疹周围迅速进展、严重压痛的红斑疹。她需要静脉注射抗生素、两次手术清创、一次皮肤移植，并在儿科重症监护病房长期住院，但最终我们成功挽救了她的生命和肢体。NF是水痘的一种罕见并发症，具有高发病率和死亡率，需要及时、特异性治疗。
