SERVICES
Paediatric soft tissues infections/abscesses
OVERVIEW
Soft tissue infections and abscesses are common paediatric conditions that affect the skin, subcutaneous tissue, and underlying structures. These infections can be caused by a variety of microorganisms, including bacteria, viruses, and fungi, and can occur anywhere on the body. Soft tissue infections can be mild or severe and may present with various symptoms such as pain, redness, swelling, and warmth.
Prompt diagnosis and appropriate management are essential to prevent complications and promote healing. Various risk factors can increase the likelihood of soft tissue infections, including poor hygiene, trauma, and underlying medical conditions. Early recognition and treatment are crucial for the successful management of soft tissue infections in children.

Symptoms of soft tissue infections/abscesses in children
Soft tissue infections and abscesses in children can present with a variety of symptoms. Some common symptoms include the following:
- Redness and swelling of the affected area
- Pain or tenderness in the affected area
- Warmth or fever
- Pus or discharge from the affected area
- Skin changes such as blisters, ulcers, or rashes
- The range of motion of the limb or joint that is affected may be restricted.
- Fatigue or malaise
- Loss of appetite
The symptoms can vary depending on the type and location of the soft tissue infection. For example, cellulitis typically presents with redness, swelling, and warmth, while an abscess may present with a visible lump. If you suspect your child has a soft tissue infection, seeking medical attention promptly is crucial as it can prevent complications.
Treatment
Surgical treatment may be necessary for some children with soft tissue infections and abscesses. The decision to perform surgery depends on the severity and location of the infection, as well as the child's overall health.
Surgical drainage is a common procedure for abscesses. The surgeon creates an opening in the skin to facilitate the drainage of pus during the procedure. Sometimes, a small drainage tube is placed to assist the abscess in ongoing drainage.
In more severe cases, surgical debridement may be necessary. This involves removing the infected tissue and cleaning the wound to promote healing. In certain situations, skin grafts may be required to repair large wounds.
Other surgical procedures that may be performed include fasciotomy (to relieve pressure and prevent tissue damage in cases of compartment syndrome) and amputation (in cases of severe infection or tissue damage).
After surgery, the child will need to follow a care plan to ensure proper healing, which may include wound care, antibiotics, and physical therapy. The surgeon will provide specific instructions based on the child's individual needs.

Dr Mangray, the founder of KZN Specialised Paediatric Surgical Service, and his associates, Dr Ngobese, Dr Govender and Dr Dube-Zvirikuzhe, have a well-established reputation for caring for children right until late adolescence.
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033 811 0289 - Mediclinic Pietermaritzburg
033 815 4164 - Eden Gardens Private Hospital
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