SURGICAL INTERVENTION FOR THE COMPLICATIONS OF MENINGOCOCCAL-INDUCED PURPURA FULMINANS

被引:38
作者
HERRERA, R [1 ]
HOBAR, PC [1 ]
GINSBURG, CM [1 ]
机构
[1] UNIV TEXAS,SW MED CTR,DEPT PEDIAT,DALLAS,TX
关键词
PURPURA FULMINANS; MENINGOCOCCAL INFECTION; SURGICAL INTERVENTION; AMPUTATION;
D O I
10.1097/00006454-199408000-00011
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Purpura fulminans is an infrequent but sometimes catastrophic illness that usually complicates a viral, rickettsial or bacterial infection. This communication presents a retrospective review of 152 patients with meningococcemia hospitalized at Children's Medical Center of Dallas from January, 1983, through December, 1993. Eighteen (11.9%) of the 152 patients developed purpura fulminans. Thirteen (72%) of the 18 patients with purpura fulminans needed one or more surgeries including skin grafts, local debridement, microvascular flaps or amputations. Five patients (28%) died.
引用
收藏
页码:734 / 737
页数:4
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