Excessive pediatric fasciitis necrotisans due to Pseudomonas aeruginosa infection successfully treated with negative pressure wound therapy

Autor:	Levente, Szabó, István, Szegedi, Csongor, Kiss, Edit, Szikszay, Éva, Remenyik, István, Csízy, István, Juhász
Rok vydání:	2015
Předmět:	Abdominal Wall Pseudomonas aeruginosa Humans Female Pseudomonas Infections Fasciitis Necrotizing Skin Transplantation Child Negative-Pressure Wound Therapy
Zdroj:	Dermatologic therapy. 28(5)
ISSN:	1529-8019
Popis:	The case of a 10-year old female child is described with a history of myeloproliferative disorder having skin, bone and visceral involvement. Bone marrow biopsy revealed histiocytosis X. During chemotherapy necrotizing fasciitis of the lower abdominal wall was diagnosed. Multiple microbiological cultures taken from the wound base revealed Pseudomonas aeruginosa infection. Surgical necrectomy and application of negative pressure wound therapy (NPWT) was started together with intensive care treatment for sepsis. As both wound and general condition of the patient improved, autologous split thickness skin grafting was carried out in two sitting under continuing NPWT application. The applied skin grafts showed excellent take, the perilesional subcutaneous recesses resolved and complete healing was achieved after 28 days of NPWT treatment. Proper dermatological diagnosis and immediate escharectomy complemented with application of NPWT can be life-saving in the treatment of necrotizing fasciitis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::afaafc5bc3a1d3dde45c29f2e17cb202 https://pubmed.ncbi.nlm.nih.gov/26032296 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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