RESUMO
Developmental dysplasia of the hip (DDH) is a common paediatric orthopaedic problem. There are various options for treatment dependent on the age and presentation. In closed and open reduction of DDH, we use a hip spica cast for immobilisation after the procedure. We present an unusual case of fungal growth on a hip spica. A 7-month-old girl presented to our institution with clusters of yellowish-white outgrowths resembling mushrooms from her spica. To the best of our knowledge, this is the first reported case of fungal growth on a hip spica following DDH treatment. It is of utmost importance to be aware of any growth on a hip spica, as this requires a prompt change of spica to avoid further complications. We recommend that the integrity of the spica and the skin be checked at regular intervals in patients with a hip spica.
Assuntos
Moldes Cirúrgicos/microbiologia , Luxação Congênita de Quadril/cirurgia , Mucorales/isolamento & purificação , Mucormicose/microbiologia , Feminino , Humanos , Imobilização , Lactente , Procedimentos OrtopédicosAssuntos
Moldes Cirúrgicos/efeitos adversos , Dermatoses do Pé/epidemiologia , Infecções por Pseudomonas/epidemiologia , Pseudomonas aeruginosa/isolamento & purificação , Dermatopatias Bacterianas/epidemiologia , Adulto , Moldes Cirúrgicos/microbiologia , Seguimentos , Dermatoses do Pé/microbiologia , Hospitais Militares , Humanos , Incidência , Masculino , Militares , Infecções por Pseudomonas/diagnóstico , Estudos Retrospectivos , Medição de Risco , Estudos de Amostragem , Dermatopatias Bacterianas/microbiologia , Adulto JovemRESUMO
Casts may be associated with, and mask, serious life-threatening complications, including infection, compartment syndrome, and deep vein thrombosis with or without pulmonary embolism. A 43-year-old woman had necrotizing fasciitis associated with a closed-reduction casting of a tibial fracture. Her treatment highlights the importance of removing a cast and assessing the skin and tissue underneath for signs of infection in patients with suspected infection. Thorough assessment, early diagnosis, and early intervention in necrotizing fasciitis and sepsis are important to improve patients' outcomes.
Assuntos
Moldes Cirúrgicos/microbiologia , Fasciite Necrosante/etiologia , Adulto , Fasciite Necrosante/diagnóstico , Fasciite Necrosante/fisiopatologia , Feminino , Humanos , Traumatismos da Perna , Insuficiência de Múltiplos Órgãos/etiologia , Insuficiência de Múltiplos Órgãos/fisiopatologia , Choque Séptico/complicaçõesRESUMO
We report a case of "green foot" in a child with a plaster cast applied for a fractured metatarsal who subsequently re-presented with circulatory compromise. The foot was green and smelly and profuse Pseudomonas aeruginosa was cultured. The infection cleared with simple exposure to air. Perhaps this diagnosis should be considered in patients presenting with circulatory compromise in a cast as severe infection can result in amputation.
