Rehabilitation of a child with meningococcal septicemia and quadrilateral limb loss: a case report.
Acquired quadrilateral limb loss is a rare occurrence in children. One cause of this condition is severe meningococcal septicemia. We present the case of a boy who, at 14 months of age, required extensive amputation after an episode of meningococcal septicemia. We review his medical recovery and rehabilitation, including upper- and lower-limb prosthetic prescription and training, and adaptation to his altered body. A multidisciplinary approach led to effective management of his complex clinical and psychologic needs. This case illustrates the need to address a range of medical, prosthetic, and family issues central to successful clinical outcome.
Lowe
Kevin G
KG
Sydney Children's Hospital, Randwick, NSW, Australia. kev.lowe@unsw.edu.au
Boyce
Joanne M
JM
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000671:Amputation, Surgical / Q000523:psychology / Q000534:rehabilitation; D001132:Arm; D001186:Artificial Limbs / Q000523:psychology; D016470:Bacteremia / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery; D001828:Body Image; D019988:Children with Disabilities / Q000523:psychology*; D005190:Family / Q000523:psychology; D006801:Humans; D007223:Infant; D007866:Leg; D008297:Male; D008589:Meningococcal Infections / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery; D020380:Needs Assessment; D009788:Occupational Therapy / Q000379:methods; D010348:Patient Care Team; D010351:Patient Discharge; D026741:Physical Therapy Modalities / Q000379:methods; D010988:Play and Playthings; D017755:Prosthesis Fitting; D002666:Psychology, Child; D012947:Social Work / Q000379:methods