A case report: rehabilitation of a child after necrosis and amputations due to meningococcal infection

Background. Meningococcal infection is a severe disease that can lead to widespread necrosis of the skin and soft tissues. Such damage often results in mummification of the fingers and toes, necessitating surgical interventions, including autologous skin grafting, necrosectomy, and amputations. According to international data, the risk of limb involvement and the need for amputation in meningococcemia varies depending on the severity of the infection. The incidence of such cases ranges from 10 to 30 % among patients with severe forms of the disease. In Ukraine, similar statistical data are fragmented, but cases of sepsis with tissue necrosis have been reported. Global experience demonstrates that early diagnosis, modern treatment methods, and vaccination can reduce the frequency of severe complications. However, even with successful treatment, patients often require long-term rehabilitation, including prosthetic fitting, physical therapy, and psychosocial support. Materials and methods. This article presents the rehabilitation experience in a 12-year-old female patient who suffered extensive necrotic skin and soft tissue lesions caused by meningococcal infection. The rehabilitation program included medication treatment of pain syndrome, instrument-assisted soft tissue mobilization, manual therapy, kinesitherapy, and proprioceptive neuromuscular facilitation to improve functional recovery. Results. Through a comprehensive approach, the patient regained mobility in the affected joints, improved her gait pattern, and partially resumed gymnastics activities. Rehabilitation significantly enhanced quality of life and functional independence. Prosthetic fitting is planned to further restore physical activity. Thus, the rehabilitation process demonstrated positive dynamics in restoring body functions, activity, and social participation. Despite residual functional limitations, a multidisciplinary approach significantly improved the patient’s quality of life, independence, and adaptation to new conditions. Conclusions. The rehabilitation process restores bodily functions, activity, and social participation. A holistic approach, including medication treatment of pain syndrome, physical therapy, specialized footwear, and vaccination, enhances recovery. Integrating these methods into national standards will ensure accessibility, financial support, and better health outcomes, reducing complications and improving patients’ quality of life and independence.