Pyoderma gangraenosum nach AICD-Implantation: Differenzialdiagnose zur nekrotisierenden Fasziitis.
Pyoderma gangrenosum is rarely seen in the surgical disciplines. In the described case the patient was initially diagnosed with necrotizing fasciitis and admitted to the intensive care unit suffering from septic shock. The automated implantable cardioverter defibrillator (AICD), the suspected focus...
| Published in: | Der Anaesthesist Vol. 61; no. 1; pp. 47 - 52 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | case study Journal Article |
| Published: |
Springer Nature
Jan2012
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104519029&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104519029 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00032417 NN3 jtl: Der Anaesthesist issn: 00032417 maglogo: N pubinfo: dt: Jan2012 vid: 61 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104519029 104519029 NLM22249404 2011461047 10.1007/s00101-011-1949-1 NLM22249404 104519029 ppf: 47 ppct: 5 formats: tig: atl: Pyoderma gangraenosum nach AICD-Implantation: Differenzialdiagnose zur nekrotisierenden Fasziitis. aug: au: Kasper K Manger B Junger A Reichert B Sievers R Herdtle S Kasper, K Manger, B Junger, A Reichert, B Sievers, R Herdtle, S affil: Klinik für Anästhesiologie und Intensivmedizin, Klinikum Nürnberg, Nürnberg, Deutschland sug: subj: Defibrillators, Implantable Adverse Effects Fasciitis, Necrotizing Diagnosis Prostheses and Implants Adverse Effects Pyoderma Gangrenosum Diagnosis Pyoderma Gangrenosum Etiology Antibiotics Therapeutic Use Critical Care Debridement Diagnosis, Differential Immunosuppressive Agents Therapeutic Use Male Middle Age Pyoderma Gangrenosum Therapy Respiratory Function Tests Shock, Septic Etiology Shock, Septic Therapy Middle Aged: 45-64 years Male ab: Pyoderma gangrenosum is rarely seen in the surgical disciplines. In the described case the patient was initially diagnosed with necrotizing fasciitis and admitted to the intensive care unit suffering from septic shock. The automated implantable cardioverter defibrillator (AICD), the suspected focus for infection, had already been removed. Following weeks of broad spectrum antibiotics and wound debridement without clinical improvement the alternative diagnosis of pyoderma gangrenosum was reached. Consequently the patient was treated with immunosuppressive therapy and his condition improved rapidly such that he was ultimately discharged to rehabilitation. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: German refInfo: holdings: @attributes: islocal: N |
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