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Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation
Pyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Alth...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi Publishing Corporation
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561318/ https://www.ncbi.nlm.nih.gov/pubmed/26380139 http://dx.doi.org/10.1155/2015/571472 |
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author | Nizamoglu, Metin |
author_facet | Nizamoglu, Metin |
author_sort | Nizamoglu, Metin |
collection | PubMed |
description | Pyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Although debridement can offer aid in resolving lesions, this is contraindicated in the acute phase as this can cause acceleration of the pathogenic process. Biopsy of the lesion does not offer a definitive diagnosis; therefore suspicion must be maintained as the diagnosis is ultimately a clinical one. Any postoperative pustular ulcerative lesion not improving despite antibiotic therapy that also yields negative bacteriological and fungal studies should lead to consideration of this diagnosis. We document the first case of PG developing following intertrochanteric femur fracture fixation using dynamic hip screw. |
format | Online Article Text |
id | pubmed-4561318 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-45613182015-09-14 Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation Nizamoglu, Metin Case Rep Orthop Case Report Pyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Although debridement can offer aid in resolving lesions, this is contraindicated in the acute phase as this can cause acceleration of the pathogenic process. Biopsy of the lesion does not offer a definitive diagnosis; therefore suspicion must be maintained as the diagnosis is ultimately a clinical one. Any postoperative pustular ulcerative lesion not improving despite antibiotic therapy that also yields negative bacteriological and fungal studies should lead to consideration of this diagnosis. We document the first case of PG developing following intertrochanteric femur fracture fixation using dynamic hip screw. Hindawi Publishing Corporation 2015 2015-08-24 /pmc/articles/PMC4561318/ /pubmed/26380139 http://dx.doi.org/10.1155/2015/571472 Text en Copyright © 2015 Metin Nizamoglu. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nizamoglu, Metin Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
title | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
title_full | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
title_fullStr | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
title_full_unstemmed | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
title_short | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
title_sort | pyoderma gangrenosum mimicking an infected wound following dynamic hip screw fixation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4561318/ https://www.ncbi.nlm.nih.gov/pubmed/26380139 http://dx.doi.org/10.1155/2015/571472 |
work_keys_str_mv | AT nizamoglumetin pyodermagangrenosummimickinganinfectedwoundfollowingdynamichipscrewfixation |