Nature’s Bandage: A Memorable Rescue of Severe Pemphigus Vulgaris in a Resource-Limited Setting

We report a memorable case of Pemphigus Vulgaris involving 50% body surface area in a rural agricultural worker. The clinical presentation was complicated by application of herbal paste and bacterial superinfection, initially mimicking Toxic Epidermal Necrolysis. Faced with significant resource constraints and unavailability of modern biosynthetic dressings, we successfully managed the extensive skin failure using an innovative nursing protocol utilising autoclaved banana leaves (Musa paradisiaca) as a sterile, non-adherent wound interface. This case underscores that when commercial non-adherent dressings are financially prohibitive, repurposing indigenous resources through standard sterilisation techniques can provide a highly effective, painless, and life-saving wound care alternative.