Delayed diagnosis of post-surgical pyoderma gangrenosum: A multicenter case series and review of literature.
Int J Surg Case Rep 2018;
44:152-156. [PMID:
29501933 PMCID:
PMC5910501 DOI:
10.1016/j.ijscr.2018.02.026]
[Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Accepted: 02/15/2018] [Indexed: 01/09/2023] Open
Abstract
INTRODUCTION
Pyoderma gangrenosum is a chronic neutrophilic dermatosis which can occur following trauma or surgery and can mimic infection. Surgical intervention can lead to progression of disease.
PRESENTATION OF CASES
This case series describes 3 cases of post-surgical pyoderma gangrenosum with delayed diagnosis from two large medical centers.
DISCUSSION
Epidemiology, pathogenesis, clinical and histopathologic presentation, and management of post-surgical pyoderma gangrenosum are discussed with a review of the literature.
CONCLUSION
Post-surgical pyoderma gangrenosum (PSPG) can mimic ulcerative disorders including bacterial infection. The diagnosis should be suspected in post-operative wounds with negative bacterial cultures which progress despite broad-spectrum antibiotics and surgical debridement. Recognizing the clinical features of PSPG is fundamental to prevent severe destruction and deformity.
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