Abstract

NAVARRO CECILIA, J.; LEON LLERENA, C.  and  LUQUE LOPEZ, C.. VAC^® Therapy in pediatric patient with bone exposition after purpura fulminans. Cir. plást. iberolatinoam. [online]. 2011, vol.37, suppl.1, pp.S59-S63. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922011000500009.

Meningococcal sepsis is associated with a high mortality rate. These patients may show severe disseminated intravascular coagulation (DIC) and skin, subcutaneous tissue and muscle necrosis due to poor tissue perfusion. It is rare that early surgical intervention be required, as it is relatively difficult to determine the degree of tissue loss early on. Once the patient is stable, debridement of all necrotic tissue is essential, and the goals are still to preserve as much tissue as possible, specially the joints. Many children survive the disease, but suffer major morbidities such as extremities amputation, which may result of complications like bone exposure. There is very little published experience regarding the non-surgical treatment of this complication. We report a new possible application of the vacuum-assisted closure system (VAC^®) in very young patients with loss of tissue as a result of purpura fulminans secondary to meningococcemia.

Keywords : Meningococcemia; Soft tissue loss; Bone exposure; Wound healing; Negative pressure therapy; Vacuum-assisted closure therapy.

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