Unusual presentation of necrotizing fasciitis in an HIV exposed infant: A Case Report.

Abstract

Necrotizing fasciitis(NF) is a  potentially life threatening  soft tissue infection characterized by rapidly spreading inflammation with necrosis of fascia, subcutaneous tissues and  overlying skin and is associated with  signs of systemic toxicity. We present a case report of an uncommon presentation of NF in an HIV exposed infant. This report is highlighting the unique combination of absence of known pre existing cause, unusual site of presentation of NF, in this instance, it presented on the scalp, in an HIV exposed neonate. It also stressed the importance prompt diagnosis of all skin lesions in HIV exposed neonates, and the role of early diagnosis and aggressive multi disciplinary team management in salvaging NF which is a potentially fatal condition.