PMID- 32741781 OWN - NLM STAT- MEDLINE DCOM- 20230703 LR - 20230703 IS - 1878-4429 (Electronic) IS - 1878-4429 (Linking) VI - 16 IP - 2 DP - 2023 TI - Use of hyperbaric oxygen therapy of purpura fulminans in an extremely low birth weight preterm: A case report. PG - 339-342 LID - 10.3233/NPM-200428 [doi] AB - Purpura fulminans (PF) is a rare and fatal complication of septic shock or diffuse intravascular coagulation (DIC) resulting in skin and soft tissue necrosis. PF can be caused by congenital or acquired protein C (PC) or protein S (PS) deficiency. The most common cause of PF in a neonate is sepsis. In our extremely low birth weight preterm case, due to PF that started in the right-hand fingers, examination was made and protein S deficiency was detected as well as MTHFR (A1298C) and Factor V Leiden (R506Q) homozygous mutations. While being unresponsive to fresh frozen plasma (FFP) and unfractionated heparin (UFH) therapy, we want to highlight the curative treatment with hyperbaric oxygen (HBOT), which has not previously been used in extremely low birth weight preterm infants for this purpose. FAU - Yilmaz, A AU - Yilmaz A AD - Department of Neonatology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Kaya, N AU - Kaya N AD - Department of Neonatology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Meric, R AU - Meric R AD - Department of Pediatrics, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Bayramli, Z AU - Bayramli Z AD - Department of Pediatrics, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Oroglu, B AU - Oroglu B AD - Istanbul Faculty of Medicine, Underwater and Hyperbaric Medicine Department, Istanbul University, Istanbul, Turkey. FAU - Celkan, T T AU - Celkan TT AD - Department of Pediatric Hematology and Oncology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Vural, M AU - Vural M AD - Department of Neonatology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. FAU - Perk, Y AU - Perk Y AD - Department of Neonatology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey. LA - eng PT - Case Reports PT - Journal Article PL - Netherlands TA - J Neonatal Perinatal Med JT - Journal of neonatal-perinatal medicine JID - 101468335 RN - 9005-49-6 (Heparin) SB - IM MH - Infant MH - Humans MH - Infant, Newborn MH - *Purpura Fulminans/therapy/complications/genetics MH - *Hyperbaric Oxygenation MH - Heparin MH - Infant, Extremely Low Birth Weight MH - Infant, Premature OTO - NOTNLM OT - Purpura fulminans OT - hyperbaric oxygen therapy OT - preterm EDAT- 2020/08/04 06:00 MHDA- 2023/07/03 06:41 CRDT- 2020/08/04 06:00 PHST- 2023/07/03 06:41 [medline] PHST- 2020/08/04 06:00 [pubmed] PHST- 2020/08/04 06:00 [entrez] AID - NPM200428 [pii] AID - 10.3233/NPM-200428 [doi] PST - ppublish SO - J Neonatal Perinatal Med. 2023;16(2):339-342. doi: 10.3233/NPM-200428.