Massive skin necrosis in rocky mountain spotted fever

Gary L. Griffith, Edward Luce

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The occurrence of massive skin necrosis of approximately 50% of the body surface area in an 8-year-old girl with Rocky Mountain spotted fever is reported. Although the surgeon will not often be confronted with the management of Rocky Mountain spotted fever or its complications, certain therapeutic corollaries can be oudined, based upon the observed similarity between this particular complication of severe skin loss and the syndrome of purpura fulminans: (1) heparinization for the consumptive coagulopathy and disseminated intravascular clotting; (2) correction of hypovolemia and hypoproteinemia; (3) decompression by escharotomy and/or fasciotomy if indicated; (4) topical chemotherapeutic coverage of necrotic skin; (5) full-thickness eschar excision combined with biologic dressings directed toward autograft wound closure; and (6) appropriate extremity splinting and physiotherapy.

Original languageEnglish (US)
Pages (from-to)1337-1340
Number of pages4
JournalSouthern Medical Journal
Volume71
Issue number11
DOIs
StatePublished - Jan 1 1978
Externally publishedYes

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Rocky Mountain Spotted Fever
Necrosis
Skin
Biological Dressings
Purpura Fulminans
Hypoproteinemia
Hypovolemia
Body Surface Area
Autografts
Decompression
Extremities
Wounds and Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Massive skin necrosis in rocky mountain spotted fever. / Griffith, Gary L.; Luce, Edward.

In: Southern Medical Journal, Vol. 71, No. 11, 01.01.1978, p. 1337-1340.

Research output: Contribution to journalArticle

Griffith, Gary L. ; Luce, Edward. / Massive skin necrosis in rocky mountain spotted fever. In: Southern Medical Journal. 1978 ; Vol. 71, No. 11. pp. 1337-1340.
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