title: Enterocutaneous fistula secondary to purpura fulminans in a preterm infant.
abstract: Enterocutaneous fistula in newborns and preterms is a well-recognized complication after necrotizing enterocolitis and abdominal surgical procedures/percutaneous interventions. However, to our knowledge, enterocutaneous fistula associated with purpura fulminans has not been reported before. Herein we report a preterm infant with purpura fulminans who developed cutaneous necrotic lesions on anterior abdominal wall. Adherence of necrotic abdominal skin to the adjacent intestinal wall resulted in enterocutaneous fistula. The patient was treated conservatively with bowel rest and antibiotics. The fistula was surgically closed 2 months later.
authors.affiliation: Neonatal Intensive Care Unit, Zekai Tahir Burak Women Health and Education Hospital, Turkey. drevrim@yahoo.com
authors.forename: Evrim Alyamac
authors.initials: EA
authors.lastname: Dizdar
authors.forename: Suna
authors.initials: S
authors.lastname: Oguz
authors.forename: Fatma Nur
authors.initials: FN
authors.lastname: Sari
authors.forename: Omer
authors.initials: O
authors.lastname: Erdeve
authors.forename: Hulya Ozkan
authors.initials: HO
authors.lastname: Ulu
authors.forename: Ugur
authors.initials: U
authors.lastname: Dilmen
mesh_terms: D000005:Abdomen / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007412:Intestinal Fistula / Q000209:etiology* / Q000601:surgery / Q000628:therapy; D009336:Necrosis; D055665:Purpura Fulminans / Q000150:complications*; D012867:Skin / Q000473:pathology; D000267:Tissue Adhesions
chemical_list: D000900:Anti-Bacterial Agents