Rehabilitation of a child with meningococcal septicemia and quadrilateral limb loss: a case report

Arch Phys Med Rehabil. 2004 Aug;85(8):1354-7. doi: 10.1016/j.apmr.2003.09.030.

Abstract

Acquired quadrilateral limb loss is a rare occurrence in children. One cause of this condition is severe meningococcal septicemia. We present the case of a boy who, at 14 months of age, required extensive amputation after an episode of meningococcal septicemia. We review his medical recovery and rehabilitation, including upper- and lower-limb prosthetic prescription and training, and adaptation to his altered body. A multidisciplinary approach led to effective management of his complex clinical and psychologic needs. This case illustrates the need to address a range of medical, prosthetic, and family issues central to successful clinical outcome.

Publication types

  • Case Reports

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological
  • Amputation, Surgical* / psychology
  • Amputation, Surgical* / rehabilitation
  • Arm
  • Artificial Limbs* / psychology
  • Bacteremia* / psychology
  • Bacteremia* / rehabilitation
  • Bacteremia* / surgery
  • Body Image
  • Disabled Children / psychology*
  • Family / psychology
  • Humans
  • Infant
  • Leg
  • Male
  • Meningococcal Infections* / psychology
  • Meningococcal Infections* / rehabilitation
  • Meningococcal Infections* / surgery
  • Needs Assessment
  • Occupational Therapy / methods
  • Patient Care Team
  • Patient Discharge
  • Physical Therapy Modalities / methods
  • Play and Playthings
  • Prosthesis Fitting
  • Psychology, Child
  • Social Work / methods