John Libbey Eurotext

European Journal of Dermatology

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Adapting a Vacuum Assisted Closure dressing to challenging wounds: negative pressure treatment for perineal necrotizing fasciitis with rectal prolapse in a newborn affected by acute myeloid leukaemia Volume 20, numéro 4, July-August 2010

Auteurs
Unit of Plastic Surgery, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy, Unit of Neonatology and Neonatal Intensive Care, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy, Unit of Dermatology, Bellaria-Maggiore Hospital, Bologna, Italy, Unit of Dermatology, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy
  • Mots-clés : necrotizing fascitiis, negative pressure therapy, neonatal infection, vacuum assisted closure dressing, wound care
  • DOI : 10.1684/ejd.2010.0964
  • Page(s) : 501-3
  • Année de parution : 2010

We report the case of a newborn with acute myeloid leukaemia, who developed perineal necrotizing fasciitis due to Pseudomonas Aeruginosa, after twenty days of life. Following surgical debridement, she was effectively treated with topical negative pressure therapy (V.A.C. ® device) with silver foam dressings, this achieved complete closure in thirteen days. Negative pressure therapy should be considered when conventional wound care fails to achieve complete wound closure, even in neonates.