Peripheral gangrene associated with fulminating meningococcal septicaemia. Is early escharotomy indicated?
We present a case of a 3-month-old boy presenting with fulminating meningococcal septicaemia associated with extensive peripheral gangrene requiring amputation of three limbs. The surgical management options and the role of early fasciotomy are discussed.
Fitton
A R
AR
Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK.
Dickson
W A
WA
Shortland
G
G
Smithies
M
M
D000671:Amputation, Surgical; D003646:Debridement; D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000601:surgery*; D000071938:Fasciotomy; D005542:Forearm / Q000098:blood supply*; D005734:Gangrene; D006801:Humans; D007223:Infant; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008589:Meningococcal Infections / Q000150:complications / Q000601:surgery*