Salvage of an Immunosuppressed Girl with Necrotizing Fasciitis by Serial Soft-Tissue Necrosis Excisions and Immediate Coverage by Integra

Vittorio Ramella1, Alessia De Grazia1, Jurgen Schleef2, Daniela Codrich2, Raffaella Sagredini3, Giovanni Papa1 and Zoran Marij Arnež1

1Clinic of Plastic Surgery, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy
2Department of Pediatric Surgery, Institute for Maternal and Child Health, Trieste, Italy
3Anesthesiology and Intensive Care Unit, Institute for Maternal and Child Health, Trieste, Italy

^*Correspondance to: Zoran Marij Arnež 

 PDF  Full Text DOI: 10.25107/2474-1647.3403

Abstract

We describe the presentation, diagnosis and management of an 8 year old immunosuppressed girl with extensive necrotizing fasciitis (23% TBSA); this is the first case report describing a step by step procedure of carefully planned life-saving surgical treatment of debridement and immediate coverage of dermal-substitute Integra with complete resolution with no complications

Keywords

Necrotizing fasciitis; Dermal matrix; Reconstructive surgery; Debridement; Immunosuppression

Cite the article

Ramella V, De Grazia A, Schleef J, Codrich D, Sagredini R, Papa G, et al. Salvage of an Immunosuppressed Girl with Necrotizing Fasciitis by Serial Soft-Tissue Necrosis Excisions and Immediate Coverage by Integra. Clin Surg. 2022; 7: 3403..