Advances in Therapy

, Volume 24, Issue 4, pp 921–925 | Cite as

Necrotizing fasciitis and gangrene associated with topical herbs in an infant

  • Kam-Iun Ellis HonEmail author
  • Erica Leung
  • David Andrew Burd
  • Alexander K. C. Leung


A 4-mo-old Chinese infant developed necrotizing fasciitis and gangrene from a small skin infection on his buttock that was treated with topical herbs. Sequential cultures revealed a number of organisms:Enterococcus species, sensitive to ampicillin, were isolated throughout the course, and coagulasenegative staphylococci replaced gram-negative rods during the later phase of the illness. The infant required prolonged intravenous antibiotic treatment and underwent multiple surgical procedures for debridement and reconstruction. This report serves to alert the public of the importance of avoiding application of unknown topical herbs in children with skin disease. A seemingly small wound, if inappropriately treated, may result in extensive tissue destruction and require extensive surgery.


necrotizing fasciitis microorganisms topical herbs 


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Copyright information

© Springer Science and Business Media and LLC 2007

Authors and Affiliations

  • Kam-Iun Ellis Hon
    • 1
    Email author
  • Erica Leung
    • 1
  • David Andrew Burd
    • 1
  • Alexander K. C. Leung
    • 2
  1. 1.Department of Paediatrics Plastic and Reconstruction SurgeryThe Chinese University of Hong Kong Prince of Wales HospitalShatinHong Kong
  2. 2.Department of PediatricsThe University of Calgary Alberta Children’s HospitalCalgaryCanada

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