CASE REPORT article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1648541
This article is part of the Research TopicAdvances in Management of Pediatric Sport-Related TraumaView all articles
MRSA Sepsis After Pediatric Traumatic Pseudoaneurysm
Provisionally accepted
- The Second Affiliated Hospital, Guizhou University of Traditional Chinese Medicine, Guiyang, China
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ABSTRACT Pediatric vascular injuries are rare and present unique clinical challenges due to differences in vessel size, injury patterns, and long-term outcomes compared with adults. We report the case of an 11-year-old boy who developed a ruptured and infected superficial femoral artery pseudoaneurysm following closed blunt trauma, which was further complicated by sepsis and necrotizing fasciitis. The patient underwent urgent surgical repair with autologous great saphenous vein patch angioplasty, combined with extensive debridement of necrotic tissue. Postoperatively, methicillin-resistant Staphylococcus aureus (MRSA) was identified, necessitating individualized, pharmacokinetically guided vancomycin therapy. This case highlights the importance of early vascular assessment following pediatric blunt trauma, the feasibility of autologous tissue reconstruction in infected arterial injuries, and the critical role of real-time therapeutic drug monitoring in optimizing the management of severe pediatric MRSA infections. This case underscores the need for multidisciplinary coordination and long-term follow-up to optimize outcomes in rare pediatric vascular trauma.
Keywords: Femoral artery pseudoaneurysm, pediatric vascular trauma, autologous vein patch angioplasty, MRSA infection, Necrotizing fasciitis, closed blunt trauma, Therapeutic drug monitoring, Sepsis
Received: 17 Jun 2025; Accepted: 26 Aug 2025.
Copyright: © 2025 Zhang, Zhao and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Xiongfeng Zhang, The Second Affiliated Hospital, Guizhou University of Traditional Chinese Medicine, Guiyang, China
Hua Zhao, The Second Affiliated Hospital, Guizhou University of Traditional Chinese Medicine, Guiyang, China
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