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Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report

BACKGROUND: Currently, the management of ingrown toenail (onychocryptosis) ranges from conservative medical management to surgical treatment. Surgical management is typically performed as an outpatient procedure due to it numerous advantages such as the simplicity of the technique and the low incide...

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Autores principales: Noula, Aimé Gilbert Mbonda, Tochie, Joel Noutakdie, Tchuenkam, Landry W., Abang, Desmond Aji, Essomba, René
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913014/
https://www.ncbi.nlm.nih.gov/pubmed/31890029
http://dx.doi.org/10.1186/s13037-019-0225-1
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author Noula, Aimé Gilbert Mbonda
Tochie, Joel Noutakdie
Tchuenkam, Landry W.
Abang, Desmond Aji
Essomba, René
author_facet Noula, Aimé Gilbert Mbonda
Tochie, Joel Noutakdie
Tchuenkam, Landry W.
Abang, Desmond Aji
Essomba, René
author_sort Noula, Aimé Gilbert Mbonda
collection PubMed
description BACKGROUND: Currently, the management of ingrown toenail (onychocryptosis) ranges from conservative medical management to surgical treatment. Surgical management is typically performed as an outpatient procedure due to it numerous advantages such as the simplicity of the technique and the low incidence of postoperative complications. The most common postoperative complications are recurrences and surgical site infections, whereas gangrene complicating a surgical site infection has been scarcely reported. We are reporting a rare complication following ambulatory surgery untimely requiring amputation. CASE PRESENTATION: A twelve-year-old boy was referred to our orthopedic surgical department for a surgical site infection complicating an initial surgical management of a left ingrown big toenail leading to a dry gangrene of the affected toe. The gangrene toe was amputated under peripheral nerve block and the patient was discharged home the same day on antibiotics, analgesics and with sessions of rehabilitation and psychological support planned. The postoperative course was uneventful at 6 months of follow-up. CONCLUSION: The authors report this case to draw clinicians’ attention, especially wound care specialists, orthopedists and podiatrists to this rare but potentially debilitating disease.
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spelling pubmed-69130142019-12-30 Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report Noula, Aimé Gilbert Mbonda Tochie, Joel Noutakdie Tchuenkam, Landry W. Abang, Desmond Aji Essomba, René Patient Saf Surg Case Report BACKGROUND: Currently, the management of ingrown toenail (onychocryptosis) ranges from conservative medical management to surgical treatment. Surgical management is typically performed as an outpatient procedure due to it numerous advantages such as the simplicity of the technique and the low incidence of postoperative complications. The most common postoperative complications are recurrences and surgical site infections, whereas gangrene complicating a surgical site infection has been scarcely reported. We are reporting a rare complication following ambulatory surgery untimely requiring amputation. CASE PRESENTATION: A twelve-year-old boy was referred to our orthopedic surgical department for a surgical site infection complicating an initial surgical management of a left ingrown big toenail leading to a dry gangrene of the affected toe. The gangrene toe was amputated under peripheral nerve block and the patient was discharged home the same day on antibiotics, analgesics and with sessions of rehabilitation and psychological support planned. The postoperative course was uneventful at 6 months of follow-up. CONCLUSION: The authors report this case to draw clinicians’ attention, especially wound care specialists, orthopedists and podiatrists to this rare but potentially debilitating disease. BioMed Central 2019-12-16 /pmc/articles/PMC6913014/ /pubmed/31890029 http://dx.doi.org/10.1186/s13037-019-0225-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Noula, Aimé Gilbert Mbonda
Tochie, Joel Noutakdie
Tchuenkam, Landry W.
Abang, Desmond Aji
Essomba, René
Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
title Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
title_full Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
title_fullStr Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
title_full_unstemmed Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
title_short Surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
title_sort surgical site infection leading to gangrene and amputation after ambulatory surgical care of an ingrown toenail: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913014/
https://www.ncbi.nlm.nih.gov/pubmed/31890029
http://dx.doi.org/10.1186/s13037-019-0225-1
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