ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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A Case Of Purpura Fulminans: Importance Of Early Diagnosis Antreatment In The Salvage Of Extremities
Dr. Zühtü DEMİR,a Dr. Serdar YÜCE,a Dr. Kubilay ÖZDİL,a Dr. Sebat KARMÜRSEL,aDr. Hıfzı VELİDEDEOĞLU,a Dr. Selim ÇELEBİOĞLUa
aPlastik ve Rekonstrüktif Cerrahi Kliniği, SSK Ankara Eğitim Hastanesi, ANKARA
Purpura fulminans is an acute illness and generally has a fatal course. It may occur during either a viral or bacterial infection, or after a period of 2-4 weeks post-infection. The clinical presentation varies with the severity of illness. Most patients have disseminated intravascular coagulation, nonspecific skin infarctions and necrosis. Purpura fulminans is most frequently associated with meningococcemia and varicella infection and generally results in the amputation of the affected extremity.
A 3 year-old girl with circulatory insufficiency in her toes after a 2-day period of nausea, vomiting, diarrhea and high fever was hospitalized with the diagnosis of purpura fulminans. Sepsis was assumed and medication was prescribed accordingly. Upon stabilization of her general status, necrotic tissue in her toes was debrided. After a follow-up period featuring wound care only, the patient’s lesions healed without complication. In this way, an illness with a normally fatal course was managed with proper and timely medication without amputation of distal extremities.
We submit, therefore, that with early diagnosis and adequate conservative treatment, possible complications can be prevented and there should be no need for amputationKeywords: Purpura, Schoenlein-Henoch,disseminated intravascular coagulationTurkiye Klinikleri J Med Sci 2005, 25:597-599
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