Ecthyma Gangrenosum in a Pediatric Patient and Review of the Literature

Year 2016, Volume: 3 Issue: 4, 200 - 2, 15.04.2016

Sevgi Sarsu , Mehmet Parmaksız Ayhan Yaman

Abstract

Erythema Gangrenosum (EG), is an infective lesion of skin, and mucous membranes typically occurring in patients with chronic disease or immunocompromised patients. İt is a very rarely seen vasculitis with a potentially progressive and fatal course.

An 8-year-old pediatric patient was referred to an external medical center with complaints of fever, abdominal pain, and skin rashes starting 2 days previously, and upon deterioration of his general health state, he was admitted into a surgical intensive care unit with manifestations of septic shock.

In the treatment, all necrotic tissues including skin, and subcutaneous tissue were excised down to a healthy tissue after excision of all necrotic tissue. Vacuum Assisted Closure (VAC) was applied on this area for drainage.

Herein, we aimed to indicate that definitive treatment of a neuropathic child with EG is surgery excision, and also emphasize critical importance of re-excision of newly developed necrotic tissue at an early stage, and close monetarization of the patient.

Keywords

Ecthyma gangrenosum; abdomen; neutropenic child

Medical Science and Discovery

Abstract

References

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