Abstract

*Dr. Mariam Quaboul, Imane Yafi, Abdelkoddous Bhihi, Moulay Driss Elamrani and Yassine Benchamkha

ABSTRACT

Cutaneous necroses are of multiple origins. They can be localized or extended. They are most often caused by a trauma (burn) whereas the infectious origin remains rare but serious, jeopardizing the vital prognosis. The main treatment is etiological, but the local treatment is important. It will consist, in most cases, of cleaning the pus out of the necrosis by all means to obtain a rapid healing and to preserve the entirety of the members, knowing that the recourse to amputations is common. We report the case of a twenty-year-old patient with no particular pathological history, who suffered from meningococcal meningitis in a complex setting complicated by purpura fulminans with extensive necrosis of the four limbs. He was admitted at two months post-infection after stabilization on the general level and prophylactic treatment of all the entourage. The management stages also concerned the general plan (cachexia, anemia, hydro-electrolytic disorders...) and the local one (debridement, budding and different grafting times). Psychologist assistance and the physiotherapist team played an important role in the patient’s participation in the treatment as well as his preparation for the discharge and his autonomy.