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

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.