Case Report

Severe Neuropathic Ulcer and Fungal Dermatitis in a Patient with Spina Bifida


  • Çisem Aksu
  • Neslihan Çiçek Deniz
  • Nurdan Yıldız
  • Ayşe Deniz Yücelten
  • Harika Alpay

Med Bull Haseki 2013;51(4):186-189

Spina bifida (SB) is a congenital abnormality characterized by incomplete closure of the neural tube early in gestation. The incidence of SB is 4-5 per 10000 live births. In SB sistica, the spinal cord protrudes through the spinal column, resulting in nerve damage depending on the location and the size of the spinal lesion, and physical disabilities including lower limb paralysis and disrupted bladder or bowel function. Pressure ulcers due to the position of the patient and the skin lesions may develop and be underdiagnosed while the most common and severe medical problems are focused on. In this case report, we present an eleven-year-old SB patient who was admitted with urinary tract infection and hypertension and had bilateral gluteal dermatitis and severe pressure ulcer on his right knee. We aimed to draw attention to local complications which may appear during follow-up throughout life and decrease the quality of life.

Keywords: Spina bifida, pressure ulcer, dermatitis

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