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A fungating spica.

Yuen Chan¹, Veenesh Selvaratnam¹, Neeraj Garg¹

¹Department of Trauma and Orthopaedics, Alder Hey Children's Hospital NHS Foundation Trust, Liverpool, UK.

BMJ Case Reports

|January 23, 2015

Summary

This summary is machine-generated.

This case report details the first instance of fungal growth on a hip spica cast in a pediatric patient treated for developmental dysplasia of the hip (DDH). Prompt spica changes are crucial to prevent complications.

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Area of Science:

Paediatric Orthopaedics
Medical Mycology

Background:

Developmental dysplasia of the hip (DDH) is a frequent pediatric orthopedic condition requiring immobilization with a hip spica cast after surgical reduction.
Hip spica casts are standard for maintaining hip alignment post-reduction in DDH cases.

Observation:

An unusual case of fungal growth, presenting as yellowish-white, mushroom-like outgrowths, was observed on a hip spica cast.
The affected patient was a 7-month-old female undergoing treatment for DDH.

Findings:

This represents the first documented case of fungal proliferation on a hip spica cast in the context of DDH treatment.
The fungal growth necessitated an immediate change of the hip spica cast.

Implications:

Awareness of potential fungal growth on hip spica casts is critical for early detection and intervention.
Regular monitoring of cast integrity and underlying skin is recommended for patients immobilized with hip spica casts to prevent secondary complications.