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Group A Streptococcal Infections

PEDIATRICS Vol. 105 No. 1 January 2000, p. e13

ELECTRONIC ARTICLE:
Post-Varicella Epiglottitis and Necrotizing Fasciitis

Received Jun 22, 1999; accepted Aug 17, 1999.

Christopher L. Slack*, Gregory C. Allen*, John E. MorrisonDagger , Kurt C. Garren*, and Mark G. Roback§

From the Departments of * Otolaryngology, Head and Neck Surgery, Dagger  Anesthesiology, and § Emergency Medicine, University of Colorado School of Medicine, Children's Hospital, Denver, Colorado.

Varicella is a nearly ubiquitous acquired childhood disease. Infectious complications of varicella can be life- or limb-threatening. These complications appear 3 to 4 days after the appearance of varicella exanthem and are heralded by fever, pain, and erythema of the overlying skin. Airway complications of varicella are rare, rapidly evolving, and, unfortunately, difficult to visualize. We report a child who presented with a unique combination of varicella-induced airway complications---acute epiglottitis and subsequent necrotizing fasciitis of the head and neck. varicella, epiglottitis, necrotizing fasciitis, group A beta -hemolytic streptococcus, nasopharyngoscopy.

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