Surgical interventions in children with meningococcal purpura fulminans - A review of 117 procedures in 21 children

Journal of Pediatric Surgery

Volumn 38, Issue 4, 2003, Pages 597-603

  Wheeler, Jonathan Simon ^a   Anderson, Brian Joseph ^b   De Chalain, Tristain M B ^b  

^a MIDDLEMORE HOSPITAL   (New Zealand)

^b NONE

Author keywords

Complications; Meningococcemia; Purpura fulminans; Surgical management

Indexed keywords

ALLOGRAFT; ARTICLE; BONE GROWTH; CLINICAL ARTICLE; CLINICAL FEATURE; CONTROLLED STUDY; DEBRIDEMENT; DISEASE COURSE; FEMALE; FOLLOW UP; FULMINATING PURPURA; FUNCTIONAL ASSESSMENT; GANGRENE; HUMAN; INTERVIEW; LIMB AMPUTATION; MALE; MENINGOCOCCEMIA; NEISSERIA MENINGITIDIS; NEW ZEALAND; PRESCHOOL CHILD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SKIN GRAFT; SURGICAL TECHNIQUE; TEACHING HOSPITAL; TREATMENT INDICATION; TREATMENT OUTCOME;

EID: 0037388562     PISSN: 00223468     EISSN: None     Source Type: Journal    
DOI: 10.1053/jpsu.2003.50130     Document Type: Article

References (36)

1. John SM, Koelmeyer TD: Meningococcal disease and meningitis: A review of deaths proceeding to coroner directed autopsy in Auckland [see comments]. N Z Med J 112:134-136, 1999
2. Bremner C, Lennon D, Martin D, et al. Epidemic meningococcal disease in New Zealand: Epidemiology and potential for prevention by vaccine. N Z Med J 112:257-259, 1999
3. Jefferies C, Lennon D, Stewart J, et al: Meningococcal disease in Auckland, July 1992-June 1994 [see comments]. N Z Med J 112:115-117, 1999
4. Herrera R, Hobar PC, Ginsburg CM: Surgical intervention for the complications of meningococcal-induced purpura fulminans [see comments]. Pediatr Infect Dis J 13:734-737, 1994
5. Wong VK, Hitchcock W, Mason WH: Meningococcal infections in children: A review of 100 cases. Pediatr Infect Dis J 8:224-227, 1989
6. Schaller RT Jr, Schaller JF: Surgical management of life-threatening and disfiguring sequelae of fulminant meningococcemia. Am J Surg 151:553-556, 1986
7. Powars D, Larsen R, Johnson J, et al: Epidemic meningococcemia and purpura fulminans with induced protein C deficiency. Clin Infect Dis 17:254-261, 1993
8. Chu DZ, Blaisdell FW: Purpura fulminans. Am J Surg 143:356-362, 1982
9. Mok Q, Butt W: The outcome of children admitted to intensive care with meningococcal septicaemia. Intensive Care Med 22:259-263, 1996
10. Brandtzaeg P, Ovsteboo R, Kierulf P: Compartmentalization of lipopolysaccharide production correlates with clinical presentation in meningococcal disease. J Infect Dis 166:650-652, 1992
11. Francis RB Jr. Acquired purpura fulminans. Semin Thromb Hemost 16:310-325. 1990
12. Brown DL, Greenhalgh DG, Warden GD: Purpura fulminans: A disease best managed in a burn center. J Burn Care Rehabil 19:119-123, 1998
13. Adcock DM, Brozna J, Marlar RA: Proposed classification and pathologic mechanisms of purpura fulminans and skin necrosis. Semin Thromb Hemost 16:333-340, 1990
14. Kennedy NJ, Duncan AW: Acute meningococcemia Recent advances in management (with particular reference to children). Anaesth Intensive Care 24:197-216, 1996
15. Silbart S, Oppenheim W: Purpura fulminans. Medical, surgical, and rehabilitative considerations. Clin Orthop 193:206-213, 1985
16. Besner GE, Klamar JE: Integra Artificial Skin as a useful adjunct in the treatment of purpura fulminans. J Burn Care Rehabil 19:324-329, 1998
17. Harris NJ, Gosh M: Skin and extremity loss in meningococcal septicaemia treated in a burn unit. Burns 20:471-472, 1994
18. Huang S, Clarke JA: Severe skin loss after meningococcal septicaemia: Complications in treatment. Acta Paediatr 86:1263-1266, 1997
19. Potokar TS, Oliver DW, Ross Russell R, et al: Meningococcal septicaemia and plastic surgery - A strategy for management. Br J Plast Surg 53:142-148, 2000
20. Hjort P, Rapaport S, Jorgenen L: Purpura fulminans: Report of a case successfully treated with heparin and hydrocortisone: Review of fifty cases from the literature. Scand J Haematol 1:169-192, 1964
21. Fritton A, Dickson W, Shortland G, et al: Peripheral gangrene associated with fulminating meningococcal septicaemia. J Hand Surg (Br) 22B:408-410, 1997
22. Huang DB, Price M, Pokorny J, et al: Reconstructive surgery in children after meningococcal purpura fulminans. J Pediatr Surg 34:595-601, 1999
23. Huang DB, Price M, Pokorny J, et al: Reconstructive surgery in children after meningococcal purpura fulminans. J Pediatr Surg 34:595-601, 1999
24. Grogan DP, Love SM, Ogden JA, et al: Chondro-osseous growth abnormalities after meningococcemia. A clinical and histopathological study. J Bone Joint Surg [Am] 71:920-928, 1989
25. Genoff MC, Hoffer MM, Achauer B, et al: Extremity amputations in meningococcemia-induced purpura fulminans. Plast Reconstr Surg 89:878-881, 1992
26. Chenaille PJ, Horowitz ME: Purpura fulminans. A case for heparin therapy. Clin Pediatr (Phila) 28:95-98, 1989
27. Fijnvandraat K, Derkx B, Peters M, et al: Coagulation activation and tissue necrosis in meningococcal septic shock: Severely reduced protein C levels predict a high mortality. Thromb Haemost 73:15-20, 1995
28. Johansen K, Murphy T, Pavlin E, et al: Digital ischemia complicating pneumococcal sepsis: Reversal with sympathetic blockade. Crit Care Med 19:114-116, 1991
29. de Chalain T, Cohen SR, Burstein FD: Successful use of leeches in the treatment of purpura fulminans. Ann Plast Surg 35:300-304; discussion 304-306, 1995
30. Waisman D, Shupak A, Weisz G, et al: Hyperbaric oxygen therapy in the pediatric patient: The experience of the Israel Naval Medical Institute. Pediatrics 102:E53, 1998
31. Leclerc F, Leteurtre S, Cremer R, et al: Do new strategies in meningococcemia produce better outcomes? Crit Care Med 28:S60-63, 2000
32. Rodriguez-Erdman F: Bleeding due to increased intravascular blood coagulation. N Eng¿ Med J 273:1370-1378, 1965
33. Kupperman N, SH I, Saladino R: The role of heparin in prevention of extremity and digit necrosis in meningococcal purpura fulminans. Pediatr Infect Dis J 13:867-873, 1994
34. Yuen JC: Free-muscle-flap coverage of exposed knee joints following fulminant meningococcemia [see comments]. Plast Reconstr Surg 99:880-884, 1997
35. Redett RJ, Bury TF, McClinton MA: The use of simultaneous free latissimus dorsi tissue transfers for reconstruction of bilateral upper extremities in a case of purpura fulminans. J Hand Surg [Am] 25:559-564, 2000
36. Butt W, Shann F, Tibballs J, et al: Long-term outcome of children after intensive care. Crit Care Med 18:961-965, 1990