Adapting a Vacuum Assisted Closure dressing to challenging wounds: negative pressure treatment for perineal necrotizing fasciitis with rectal prolapse in a newborn affected by acute myeloid leukaemia.
We report the case of a newborn with acute myeloid leukaemia, who developed perineal necrotizing fasciitis due to Pseudomonas Aeruginosa, after twenty days of life. Following surgical debridement, she was effectively treated with topical negative pressure therapy (V.A.C.(R) device) with silver foam dressings, this achieved complete closure in thirteen days. Negative pressure therapy should be considered when conventional wound care fails to achieve complete wound closure, even in neonates.
Negosanti
Luca
L
Unit of Plastic Surgery, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy. luca.negosanti81@gmail.com
Aceti
Arianna
A
Bianchi
Tommaso
T
Corvaglia
Luigi
L
Negosanti
Francesca
F
Sgarzani
Rossella
R
Morselli
Paolo Giovanni
PG
Cipriani
Riccardo
R
Negosanti
Massimino
M
Patrizi
Annalisa
A
Faldella
Giacomo
G
D001458:Bandages; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000382:microbiology / Q000628:therapy*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D015470:Leukemia, Myeloid, Acute / Q000150:complications*; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D010502:Perineum; D011552:Pseudomonas Infections / Q000382:microbiology / Q000628:therapy*; D012005:Rectal Prolapse / Q000382:microbiology / Q000628:therapy*; D014618:Vacuum; D014945:Wound Healing