[Purpura fulminans: functional results in two paediatric patients after suffering multiple amputations].

Abstract

Purpura fulminans (PF) is an unusual haemorrhagic process that is usually associated with meningococcal sepsis and other infectious processes. It usually affects neonates and young children, and starts with a benign infection that progresses to a high fever, purpura ecchymosis, disseminated intravascular coagulopathy, necrosis and gangrene. The treatment of these children usually requires making difficult decisions, since the surgeon and the families must come to terms with the possibility of following an aggressive line of treatment that could lead to multiple mutilating sequelae, or follow palliative treatment. In this study, we review the clinical presentation, treatment and results of two cases of PF treated in our hospital between the years 2002 and 2005. The children presented in this study had a good long-term functional result and an acceptable quality of life, despite being subjected to multiple amputations.

• Authors: I Tamimi-Mariño, J J Hidalgo, A Perez, L I Mendez
• Journal: Revista espanola de cirugia ortopedica y traumatologia (Rev Esp Cir Ortop Traumatol) 2012 Jul-Aug Vol. 56 Issue 4 Pg. 319-22 ISSN: 1988-8856 [Electronic] Spain
• Vernacular Title: Púrpura fulminante: resultado funcional en 2 pacientes pediátricos tras sufrir múltiples amputaciones.
• PMID: 23594852 (Publication Type: Case Reports, English Abstract, Journal Article)
• Copyright: Copyright © 2012 SECOT. Published by Elsevier España, S.L. All rights reserved.

Topics

• Amputation, Surgical
• Child, Preschool
• Female
• Humans
• Purpura Fulminans (diagnosis, surgery)