The management of dermal necrosis after acute Neisseria infection.
Although the occurrence of dermal necrosis following Neisseria meningitidis is rare, it portends a grave prognosis with a high mortality rate. A child having this complication is described who sustained a loss of over 30% of the body skin surface. She was successfully treated with aggressive nutritional support, meshed split-thickness skin grafting, and early rehabilitation. The pathophysiology of this complication is discussed, along with principles that are important in the day-to-day management of the patient.
Seyfer
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Kiefer
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Smith
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D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008585:Meningitis, Meningococcal / Q000150:complications*; D009336:Necrosis; D009345:Neisseria meningitidis / Q000302:isolation & purification; D012874:Skin Diseases, Infectious / Q000209:etiology / Q000382:microbiology / Q000628:therapy*