Haemophilus influenzae infection in the practice of a pediatrician and pediatric surgeon. Case report

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Abstract

The paper discusses the issues of diagnosis, treatment, and prevention of surgical infection caused by Haemophilus influenzae type b (Hib) in children. Skin and soft tissue infections caused by Hib are potentially severe diseases and are associated with the risk of complications and disability in children. A clinical case of Hib infection in a 1-year-old child with a previous viral disease that triggered severe skin and soft tissue complications (necrosis of the right buttock soft tissues) is presented. Management included comprehensive treatment with modern non-surgical and surgical methods used in the clinical practice of a pediatric surgeon. Clinical experience shows that in some cases, antibiotics do not replace reasonable surgery, and in the treatment of children with generalized Haemophilus infection, surgical intervention should be a priority aimed at adequate early elimination of the suppurative focus.

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Liudmila I. Budkevich

Pirogov Russian National Research Medical University (Pirogov University); Speransky Pediatric City Clinical Hospital No. 9

Author for correspondence.
Email: mila-budkevich@yandex.ru
ORCID iD: 0000-0002-8975-6108

D. Sci. (Med.), Prof.

 

Russian Federation, Moscow; Moscow

Vera V. Soshkina

Speransky Pediatric City Clinical Hospital No. 9

Email: mila-budkevich@yandex.ru
ORCID iD: 0000-0002-8605-8670

Cand. Sci. (Med.)

Russian Federation, Moscow

References

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Supplementary files

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2. Fig. 1. Abnormal changes in the skin in the right gluteal region.

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3. Fig. 2. Right gluteal region on admission to the burn ward.

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4. Fig. 3. Necrotic tissues in the right gluteal region before surgery and after debridement (day 9 of the disease).

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5. Fig. 4. Wounds during treatment.

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6. Fig. 5. Wound on day 14 of vacuum therapy.

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7. Fig. 6. Staged surgical intervention: hydrosurgical wound treatment with the "VersaJet" device, autodermoplasty with a free split skin autograft with 1:3 perforations.

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8. Fig. 7. Dressing change on day 6 after autodermoplasty.

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