Soft Tissue Infections
A primary soft tissue infection in a healthy child was a rare event, one that often triggered an immunologic work-up. With the surge in community-acquired Staphylococcus aureus infections, soft tissue abscesses have become one of the more common emergency presentations to pediatric surgeons. Despite their epidemic proportions, methicillin-resistant Staphylococcus aureus and methicillin-susceptible S. aureus soft tissue infections are rarely necrotizing. In adults, the Laboratory Risk Indicator for Necrotizing Fasciitis score is a validated diagnostic tool for necrotizing soft tissue infections. Necrotizing fasciitis must involve the superficial fascia although extension to skin and subcutaneous tissue may be present. The guiding principle in the treatment of necrotizing fasciitis in any age group is immediate initiation of antibiotics and wide debridement of all necrotic tissue. The clinician should also be aware of other common soft tissue infections in children. Perianal abscess is quite common in newborn baby boys during the first 3 months of life.