# Necrotizing Fasciitis in a Child in a Third-World Country: A Case Report

## TL;DR

This case report describes the treatment of a child with a severe soft tissue infection in a third-world country using surgical and reconstructive methods.

## Contribution

The novelty lies in the application of Ollier-Thiersch dermoplasty for reconstructive treatment of necrotizing fasciitis in a pediatric patient in a resource-limited setting.

## Key findings

- A one-year-old child with necrotizing fasciitis showed satisfactory recovery after debridement, antibiotics, and dermoplasty.
- Ollier-Thiersch dermoplasty was effectively used for wound closure following extensive tissue necrosis.
- The case highlights the importance of timely surgical intervention and reconstructive procedures in managing severe infections.

## Abstract

Necrotizing fasciitis is a soft tissue infection that represents an emergency due to its alarmingly fast progression. It requires surgical debridement and antibiotics, but more advanced interventions can be needed, such as reconstructive procedures, including an Ollier-Thiersch dermograft, as in the case we are presenting.

We introduce the history and clinical evolution of a patient with necrotizing fasciitis, who underwent dermoplasty of the right temporal region.

This case report was conducted in the Plastic Surgery Service at Hospital Militar Escuela Dr. Alejandro Dávila Bolaños, during 2025. Demographic data, clinical course, laboratory studies, and the therapeutic approach were documented. Informed consent was obtained for publication of the case.

A one-year-old male patient presented with punctate lesions in the periorbital region. On physical examination, edema and erythema were observed, which progressed to abscess and necrosis. Antibiotic therapy, wound irrigation, and debridement were initiated, followed by wound closure using Ollier-Thiersch dermoplasty. The patient had a satisfactory clinical outcome.

We present the clinical evolution and surgical approach of a patient with necrotizing fasciitis, who underwent debridement, negative pressure wound therapy, and dermoplasty.