Pediatric Necrotizing Fasciitis

  • Etiology: No history of penetrating trauma
  • Imaging Radiograph: Soft tissue gas seen in minority of cases
  • Imaging MRI:
    — Very sensitive but not specific
    — Locules of air, thickened fascia, interfascial fluid collections
  • DDX:
  • Complications:
  • Treatment:
  • Clinical:

Radiology Cases of Necrotizing Fasciitis

Radiograph and MRI of necrotizing fasciitis
AP radiograph of the right hip (left) shows subcutaneous air diffusely throughout the right thigh. Coronal (above right) and axial (below right) T2 MRI without contrast of the right thigh shows thickened fascia with interfascial fluid collections in the lateral and medial aspects of the right thigh.