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Scientific paper - Review paper
Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen
Undersea and Hyperbaric Medical, 37 (2010), 2; 95-9. urn:nbn:hr:239:848551
Takač, Ines; Kvolik, Slavica; Divković, Dalibor; Kalajdžić-Čandrlić, Jasenka; Pušeljić, Silvija; Ižaković, Senka

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Takač, I., Kvolik, S., Divković, D., Kalajdžić Čandrlić, J., Pušeljić, S. & Ižaković, S. (2010). Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen. Undersea and Hyperbaric Medical, 37. (2), 95-9. Retrieved from https://urn.nsk.hr/urn:nbn:hr:239:848551

Takač, Ines, et al. "Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen." Undersea and Hyperbaric Medical, vol. 37, no. 2, 2010, pp. 95-9. https://urn.nsk.hr/urn:nbn:hr:239:848551

Takač, Ines, Slavica Kvolik, Dalibor Divković, Jasenka Kalajdžić Čandrlić, Silvija Pušeljić and Senka Ižaković. "Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen." Undersea and Hyperbaric Medical 37, no. 2 (2010): 95-9. https://urn.nsk.hr/urn:nbn:hr:239:848551

Takač, I., et al. (2010) 'Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen', Undersea and Hyperbaric Medical, 37(2), pp. 95-9. Available at: https://urn.nsk.hr/urn:nbn:hr:239:848551 (Accessed 24 April 2024)

Takač I, Kvolik S, Divković D, Kalajdžić Čandrlić J, Pušeljić S, Ižaković S. Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen. Undersea and Hyperbaric Medical [Internet]. 2010 [cited 2024 April 24];37(2):95-9. Available at: https://urn.nsk.hr/urn:nbn:hr:239:848551

I. Takač, S. Kvolik, D. Divković, J. Kalajdžić Čandrlić, S. Pušeljić and S. Ižaković, "Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen", Undersea and Hyperbaric Medical, vol. 37, no. 2, pp. 95-9, 2010. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:239:848551. [Accessed: 24 April 2024]

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Metadata
Title (english)Conservative Surgical Management of Necrotic Tissues Following Meningococcal Sepsis: Case Report of a Child Treated with Hyperbaric Oxygen
AuthorInes Takač
AuthorSlavica Kvolik
MBZ: 259895
AuthorDalibor Divković
MBZ: 344355
AuthorJasenka Kalajdžić-Čandrlić
AuthorSilvija Pušeljić
MBZ: 263190
AuthorSenka Ižaković
Author's institution(Clinical hospital center Osijek)
Author's institutionJosip Juraj Strossmayer University of Osijek
Faculty of Medicine Osijek
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Internal Medicine
Abstract (english)
This article presents the case of a 5-month-old infant, who survived a fulminant meningococcal sepsis with purpura fulminans, septic shock and severe DIC with gastrointestinal bleeding. Amputation and reconstructive surgery were considered to treat the multiple skin and limb necroses at high risk of superinfection, but the surgical intervention was delayed due to the extremely doubtful outcome. On Day 10 after the onset of the disease, a hemodynamic improvement was achieved. The baby overcame early critical period, but was still in poor general condition. The hyperbaric oxygenation (HBO2) as adjuvant therapy was started in the monoplace chamber using the following protocol: from first through fifth day 45 minutes twice a day on 1.5 atmosphere absolute (ATA); after a two-day break, once a day on 1.8 ATA for 60 minutes. During 52 HBO2 treatments multiple areas of necrotic skin and subcutaneous tissue, together with fingertips and toes, detached spontaneously. All wounds healed without reinfections. An increased oxygen concentration during HBO2 therapy promoted spontaneous wound healing. Bacterial superinfection was not observed in numerous low-perfused lesions. Since repeated anesthesia and surgical interventions were not needed, a final invalidity was minimized. To the best of our knowledge, this is the first report on the successful conservative surgical treatment of this mutilating disease without aggressive reconstructive surgery in an infant with the help of HBO2.
Keywords (english)
Languageenglish
Publication typeScientific paper - Review paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleUndersea and Hyperbaric Medical
Numberingvol. 37, no. 2, pp. 95-9
p-ISSN1066-2936
URN:NBNurn:nbn:hr:239:848551
Publication2010
Document URLhttps://www.semanticscholar.org/paper/Conservative-surgical-management-of-necrotic-case-a-Taka%C4%8D-Kvolik/d581d5a2fd87da9d1c5aa134362f4180195ff1c8
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2020-03-30 09:46:01