Chronic Ulcers and Malnutrition in an African Patient.
Publication/Presentation Date
11-1-2020
Abstract
An 11-year-old girl with a congenitally malformed left hand, sickle cell trait, asthma, and history of appendicitis was transferred from Zambia for evaluation and treatment of widespread suppurative and ulcerative skin lesions that typically appeared after trauma to her skin. The ulcers first presented 3 years earlier but had markedly worsened in the 9 months before transfer, spreading circumferentially on her extremities and abdomen at the site of an appendectomy. They were painful and did not resolve with multiple courses of intravenous antibiotics and close management by a pediatric infectious disease specialist working for a nongovernmental organization (NGO) in her home country. Per NGO records, she had previously been average weight-for-age. On presentation after international transfer, she was severely malnourished, with lesions covering ∼35% of her body. In initial workup, leukocytosis of 21 × 10
Volume
146
Issue
5
ISSN
1098-4275
Published In/Presented At
Singer, T. G., Bray, M. A., Chan, A., Ikeda, S., Walters, B., Fuller, M. Y., & Falco, C. (2020). Chronic Ulcers and Malnutrition in an African Patient. Pediatrics, 146(5), e20201717. https://doi.org/10.1542/peds.2020-1717
Disciplines
Medicine and Health Sciences
PubMedID
33115794
Department(s)
Fellows and Residents
Document Type
Article