Severe Injury & Subsequent Debridement

[LiquidSky]

I can't even imagine surviving something like that. I think my heart would just give out. Poor wee one.

[HeadlessHorseman]

Is there any chance he keeping that leg?

[mintycbo]

See this a lot in Africa... (am not being racist...)
I've seen so many pics/vids of people with their top layers of skin/flesh litterally rot off of them..I forget the cause..but it is that fat/orange color all of the time every case.. I would say necrotizing fasciitis..But it is caused from something else, just don't remember..

[mintycbo]

I knew I'd find it!
It is a BURULI ULCER.
I know..how the hell can that be an ulcer?
it's caused by bacteria..

BURULI ULCER
Buruli ulcer caused by Mycobacterium ulcerans is the third most common
mycobacterial disease after tuberculosis and leprosy in non-HIV-infected
patients. The disease first described in Uganda is now endemic in
swampy areas in West Africa, but may be seen elsewhere. It is
transmitted by mild injuries, the bacillus probably residing in muddy
water. Patients are usually children.
Two different forms of the disease are seen.
1. A slow form which develops in 2-3 months. A hard indurated plaque
with surrounding severely constricting oedema forms and compromises
the circulation in the affected limb, leading to ischaemia and necrosis.
2. A fast form which develops in 2-4 weeks. A painless papule or nodule
forms and ulcerates, extending rapidly. The typical ulcer has undermined
edges. The patient is not sick and there is no oedema.
Very extensive ulceration and secondary infection may occur and lead to
sepsis, tetanus and death. Besides the skin and subcutis deeper
structures may be involved. Particularly osteomyelitis may be seen.
The lesions may heal spontaneously with severe scarring and
contractures.
Management of Buruli ulcer
- Prevent secondary infections.
- There is only one effective treatment: Surgery as soon as possible, wide excision
with skin grafting. There is no effective medical treatment!

Fig.49. Buruli ulcer on thearm.
(CourtesyDr. P.L.A. Niemel).

From - http://telemedicine.itg.be/telemedic...loads/skin.pdf

And here, the wiki for it says simmilar - http://en.wikipedia.org/wiki/Buruli_ulcer


some more pics.. nast stuff..




Pretty harsh..child with most of abdomen covered or eaten away..
(Child warning)













But yeh..like I said last post..I remembered I seen this else where and knew it wasn't necrotizing fasciitis... that would be this here..

[khiarhu]

Absolutely terrifying to see - I...hate to say it, but I find myself hoping that the child pictured isn't alive. So much horror to have so young.

Any thought as to the lack of color in the musculature on the stripped picture of the leg? (bottom shot) I ask because even in the other pictures posted later, you can see a great deal more color, more blood clearly in play.