A Team Of Doctors From Different Specialties Came Together To Keep The Hopes Of A Budding Dancer Alive!
~ Kauvery Hospital's team of
specialists successfully managed a case of Pyomyositis in a 10-year-old child
who presented with severe and sudden life-threatening complications
2nd March 2020: Kauvery Hospital, a popular leading tertiary
and multi-specialty hospital in Chennai, successfully treated a complicated case
of pyomyositis in a 10-year-old patient through a collaborative effort by
doctors of Kauvery Hospital across departments of pediatrics, orthopedics, critical
care, infectious diseases and plastic surgery.
the 10-year-old aspiring dancer came all the way from Guwahati, Assam to
Kauvery Hospital along with their daughter, who developed complications
following treatment of her ankle sprain with an above knee plaster cast at
their native town. She presented to us 7 days after application of the cast
with high grade fever, excruciating pain and swelling of her right leg.
presentation was suggestive of a deep vein thrombosis. On day 2 of admission,
the young patient, developed breathing difficulty which led her to being
admitted to ICU for pediatric critical care. She developed certain skin changes
that suggested a possible infection in her right leg, which was both limb and life threatening. In the course of ICU stay, she developed multi organ
dysfunction with shock, respiratory failure, acute kidney injury and sepsis
requiring her to be on life support and high-end antibiotics.
Our team of doctors performed exploratory surgical
procedures through which
the doctors came to the conclusion that the child is suffering from severe pyomyositis which required removal of the tissues around the knee, as the tissues in
the muscle around the bones were necrosed, which was very rare as none of the
superficial tissues were damaged.
The team consisting of plastic surgeons,
pediatrician, intensivists and infectious diseases treated her in cohesion with
vacuum therapy, intensive care and many radical surgeries that included removal
of necrotic tissues and skin grafting to save her limb and life. This was a
truly complicated medical case that challenged the most dedicated and skilled
professionals. Throughout her
stay in the hospital, the child never lost her smile on her face and always greeted the doctors as "Namaste doctor" and the nurses as "Namaste Didi". She became the mascot of the ICU with her playful actions
and a bright smile.
Currently, the young patient has gone back to
continue her dancing and Kauvery Hospital is proud to have kept the little
girl's dream of dancing alive.
The team of doctors include Dr Lakshmi Prashanth, Consultant Pediatrician,
Dr V B
Narayanamurthy, Senior Consultant Plastic Surgeon, Dr Sathish Manivel, Senior Consultant
Plastic Surgeon, Dr Arul Mozhi Mangai, Senior Consultant Plastic Surgeon, Dr
Vijayalakshmi B, Senior Consultant Infectious Diseases and Dr Sridhar N, Senior Consultant
Speaking on the achievement of the doctors, Dr
Iyappan Ponnuswamy, Medical Director Kauvery Hospital, said, "It gives
us immense pleasure to see the smile back on the young and aspiring dancer's
face. At the same time, I congratulate the team of doctors and paramedics at
Kauvery Hospital, who brought in all their experience and expertise to the
table to bring the smile back. The success of this case gives hope for many who
might be suffering from debilitating condition."
Pyomyositis is a bacterial infection that
occurs in the adult population, elderly and immune deficient individuals. (75%
occurs in immune compromised) It is very uncommon to happen in the young
population, especially in a healthy immune competent young girl.