Necrotizing fasciitis is a severe, rapidly progressive infection of the subcutaneous tissue that causes significant destruction. It is rarely encountered in the pediatric population. We describe the case of a 14-year-old boy who was diagnosed with Chromobacterium violaceum necrotizing fasciitis and subsequently found to have autosomal recessive chronic granulomatous disease.
Necrotizing fasciitis (NF) is a serious, rapidly progressive infection of the subcutaneous tissues that is associated with significant morbidity and mortality. It is rare among children. NF is usually caused by either non-group A beta-hemolytic streptococci, Staphylococcus aureus, or coagulase-negative staphylococci.