Cargando…

Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report

INTRODUCTION: Bilateral gangrene of both legs in a child is a rare condition which may lead to sepsis when improperly treated. In certain rare cases, autoamputation may occur instead. We report a case of bilateral symmetrical autoamputation of the feet following necrotizing fasciitis after a fall in...

Descripción completa

Detalles Bibliográficos
Autores principales: Irianto, Komang Agung, Martanto, Tri Wahyu, Nugroho, Rendra Praliestyo, Sindrawati, Oen, Kloping, Yudhistira Pradnyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229236/
https://www.ncbi.nlm.nih.gov/pubmed/32416479
http://dx.doi.org/10.1016/j.ijscr.2020.04.062
_version_ 1783534721526923264
author Irianto, Komang Agung
Martanto, Tri Wahyu
Nugroho, Rendra Praliestyo
Sindrawati, Oen
Kloping, Yudhistira Pradnyan
author_facet Irianto, Komang Agung
Martanto, Tri Wahyu
Nugroho, Rendra Praliestyo
Sindrawati, Oen
Kloping, Yudhistira Pradnyan
author_sort Irianto, Komang Agung
collection PubMed
description INTRODUCTION: Bilateral gangrene of both legs in a child is a rare condition which may lead to sepsis when improperly treated. In certain rare cases, autoamputation may occur instead. We report a case of bilateral symmetrical autoamputation of the feet following necrotizing fasciitis after a fall injury which was treated with herbal medicine in a five-year-old child. PRESENTATION OF CASE: A five-year-old girl fell from a bicycle and was treated by a traditional healer by wrapping her legs with herbs and leaves. Within 24 h, the skin of both lower limbs darkened. Her vital signs show tachycardia and fever. Physical examination revealed bluish black sharp discoloration of both her lower extremities. On the 3rd day of systemic antibiotic administration, her feet, distal portion of both legs, and part of the thighs darkened progressively. The parents refused any additional intervention due to financial constraints and went back to the traditional healer. A month later, the patient returned to the hospital with both lower extremities autoamputated. The parents denied further treatment. Two months later, the patient was admitted to receive prostheses funded by the city council. Debridement of necrotic bone and soft tissue and skin grafting was performed. In the present day, the patient is in a healthy condition. CONCLUSION: The rare occurrence of bilateral autoamputation without any underlying vascular or neurological disorders in this patient is likely caused by vasospasm and thrombosis induced by the herbal treatments which prevent the systemic spread of infection.
format Online
Article
Text
id pubmed-7229236
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-72292362020-05-20 Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report Irianto, Komang Agung Martanto, Tri Wahyu Nugroho, Rendra Praliestyo Sindrawati, Oen Kloping, Yudhistira Pradnyan Int J Surg Case Rep Article INTRODUCTION: Bilateral gangrene of both legs in a child is a rare condition which may lead to sepsis when improperly treated. In certain rare cases, autoamputation may occur instead. We report a case of bilateral symmetrical autoamputation of the feet following necrotizing fasciitis after a fall injury which was treated with herbal medicine in a five-year-old child. PRESENTATION OF CASE: A five-year-old girl fell from a bicycle and was treated by a traditional healer by wrapping her legs with herbs and leaves. Within 24 h, the skin of both lower limbs darkened. Her vital signs show tachycardia and fever. Physical examination revealed bluish black sharp discoloration of both her lower extremities. On the 3rd day of systemic antibiotic administration, her feet, distal portion of both legs, and part of the thighs darkened progressively. The parents refused any additional intervention due to financial constraints and went back to the traditional healer. A month later, the patient returned to the hospital with both lower extremities autoamputated. The parents denied further treatment. Two months later, the patient was admitted to receive prostheses funded by the city council. Debridement of necrotic bone and soft tissue and skin grafting was performed. In the present day, the patient is in a healthy condition. CONCLUSION: The rare occurrence of bilateral autoamputation without any underlying vascular or neurological disorders in this patient is likely caused by vasospasm and thrombosis induced by the herbal treatments which prevent the systemic spread of infection. Elsevier 2020-05-11 /pmc/articles/PMC7229236/ /pubmed/32416479 http://dx.doi.org/10.1016/j.ijscr.2020.04.062 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Irianto, Komang Agung
Martanto, Tri Wahyu
Nugroho, Rendra Praliestyo
Sindrawati, Oen
Kloping, Yudhistira Pradnyan
Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
title Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
title_full Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
title_fullStr Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
title_full_unstemmed Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
title_short Traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: A case report
title_sort traditional herbal treatment induced bilateral amputation of the feet in a five-year-old child: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229236/
https://www.ncbi.nlm.nih.gov/pubmed/32416479
http://dx.doi.org/10.1016/j.ijscr.2020.04.062
work_keys_str_mv AT iriantokomangagung traditionalherbaltreatmentinducedbilateralamputationofthefeetinafiveyearoldchildacasereport
AT martantotriwahyu traditionalherbaltreatmentinducedbilateralamputationofthefeetinafiveyearoldchildacasereport
AT nugrohorendrapraliestyo traditionalherbaltreatmentinducedbilateralamputationofthefeetinafiveyearoldchildacasereport
AT sindrawatioen traditionalherbaltreatmentinducedbilateralamputationofthefeetinafiveyearoldchildacasereport
AT klopingyudhistirapradnyan traditionalherbaltreatmentinducedbilateralamputationofthefeetinafiveyearoldchildacasereport