Necrotizing fasciitis after neonatal circumcision
J. R. Woodside
A 6-day-old infant had extensive necrotizing fasciitis involving most of
the abdominal wall develop after circumcision with a Plastibell device
(Hollister, Inc). He survived this life-threatening infection after
vigorous cardiovascular support, antibiotic therapy, and aggressive
surgical debridement. The diagnosis, bacteriology, and management of
necrotizing fasciitis are briefly discussed. The technical aspects and
complications of Gomco (Gomco Surgical Manufacturing Corp) and Plastibell
circumcision are compared. Strangulation and devitalization of the prepuce
is invariably associated with Plastibell circumcision, and it may render
neonates circumcised by this technique more susceptible to serious wound
infection.
