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This case concerns a female infant born at 23+4/40 weighing 460 g. She was referred to us on day 6 with focal intestinal perforation, requiring small bowel resection and ileostomy. On day 7, skin necrosis was seen extending bilaterally from under the endotracheal tube (ETT) fixation (figure 1). Removing the device revealed extensive soft tissue damage. Honey dressings were applied and a non-adhesive method (bonnet & ties) used to resecure ETT. Antifungal prophylaxis was continued and …
Contributors SZ identified the case, conceived the idea for the article and was responsible for the overall content. KC performed literature search and drafted the original manuscript. RT revised the manuscript critically for intellectually important content. All authors reviewed and agreed with the final version of the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.