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

Levente Szabõ, István Szegedi, Csongor Kiss, Edit Szikszay, Éva Remenyik, István Csízy, István Juhász

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)300-302
Number of pages3
JournalDermatologic Therapy
Volume28
Issue number5
DOIs
Publication statusPublished - Sep 1 2015

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Keywords

  • Pseudomonas aeruginosa infection
  • fasciitis necrotisans
  • histiocytosis X
  • life-saving
  • negative pressure wound therapy
  • pediatric case

ASJC Scopus subject areas

  • Dermatology

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