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Diagnosis and Treatment of Type II Necrotizing Fasciitis in a Child Presenting With Minor Abrasion, Edema, and Apparent Bruising
Wounds, 04/09/09
Eggert J et al. - A healthy, 14-year-old girl presented with what was initially a minor hand abrasion with edema and apparent ecchymosis. Over the next 12 hours, dusky rings developed over the forearm. Key features leading to diagnosis were pain out of proportion to the injury and a CT scan that was positive for gas in the tissues. Optimal limb salvage was obtained with an integrated, multidisciplinary approach that included hyperbaric medicine, surgery, infectious disease, wound care, rehabilitation services, and behavioral health. Multiple surgeries included debridement, layered matrix dressings, and a split-thickness skin graft.
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