Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
| Autor: | Komang Agung Irianto, Rendra Praliestyo Nugroho, Tri Wahyu Martanto, Yudhistira Pradnyan Kloping, Oen Sindrawati |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Necrotizing fasciitis medicine.medical_treatment Physical examination Article 03 medical and health sciences 0302 clinical medicine Autoamputation Herbal treatment Traditional treatment Case report medicine Bilateral autoamputation Fasciitis Gangrene Debridement medicine.diagnostic_test business.industry medicine.disease Thrombosis Surgery Amputation 030220 oncology & carcinogenesis Skin grafting 030211 gastroenterology & hepatology business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.04.062 |
| Popis: | Highlights • Bilateral gangrene usually progress to a systemic infection and death if not treated properly. • The development of bilateral gangrene to acute limb ischemia and eventually leading to auto amputation of both feet in this patient was unusual as she did not receive any medical or surgical interventions. • The rare occurrence of bilateral autoamputation without any underlying vascular or neurological disorders in this patient is likely caused by vasospasm and thrombosis triggered by the herbal treatments, which possibly contain ergot alkaloids, given by the traditional healer. • This phenomenon may play a part in future considerations for performing amputation to patients with possible necrotizing fasciitis. Introduction Bilateral gangrene of both legs in a child is a rare condition which may lead to sepsis when improperly treated. In certain rare cases, autoamputation may occur instead. We report a case of bilateral symmetrical autoamputation of the feet following necrotizing fasciitis after a fall injury which was treated with herbal medicine in a five-year-old child. Presentation of case A five-year-old girl fell from a bicycle and was treated by a traditional healer by wrapping her legs with herbs and leaves. Within 24 h, the skin of both lower limbs darkened. Her vital signs show tachycardia and fever. Physical examination revealed bluish black sharp discoloration of both her lower extremities. On the 3rd day of systemic antibiotic administration, her feet, distal portion of both legs, and part of the thighs darkened progressively. The parents refused any additional intervention due to financial constraints and went back to the traditional healer. A month later, the patient returned to the hospital with both lower extremities autoamputated. The parents denied further treatment. Two months later, the patient was admitted to receive prostheses funded by the city council. Debridement of necrotic bone and soft tissue and skin grafting was performed. In the present day, the patient is in a healthy condition. Conclusion The rare occurrence of bilateral autoamputation without any underlying vascular or neurological disorders in this patient is likely caused by vasospasm and thrombosis induced by the herbal treatments which prevent the systemic spread of infection. |
| Databáze: | OpenAIRE |
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