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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 3  |  Page : 172-175

Skin necrosis after extravasation of intravenous vancomycin in a 1-month-old infant: A case report and description of treatment options


1 Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
2 Department of Epidemiology and Biostatistics, Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran

Correspondence Address:
Dr. Abolfazl Mohammadbeigi
Department of Epidemiology and Biostatistics, Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_108_18

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In this case report, we describe a patient with extravasation injury with vancomycin given through a peripheral catheter. Extravasation occurs more in children and old people. A 1-month-old girl came to the hospital complaining of lethargy, poor feeding, fever, dyspnea, coughing, and cyanosis and was admitted in the neonatal department. The patient was diagnosed with pneumonia after blood tests and chest radiography. On the 2nd day of treatment, the nurse noticed extravasation of vancomycin with severe painful blistering surrounding the infusion site on the patient's left leg. Necrotic ulcer at the vancomycin leakage site was visible. Moreover, according to the surgeon, necrotic ulcer needed debride. However, modern dressing with collagen besides the combination dressing of Aquasel Ag+, foam Aquasel, and ColActive collagen was used for treatment. The patient's wound was improved with modern dressing and was recovered after 31 days. She was discharged from the hospital without a certain problem.


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