Pyoderma Gangrenosum Simulating Necrotizing Fasciitis.
Pyoderma gangrenosum received this name due to the notion that this disease was related to infections caused by bacteria in the genus Streptococcus. In contrast to this initial assumption, today the disease is thought to have an autoimmune origin. Necrotizing fasciitis was first mentioned around the...
| Publicado en: | Case Reports in Medicine pp. 1 - 7 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Wiley-Blackwell
12/10/2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113625111&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 113625111 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16879627 902N jtl: Case Reports in Medicine issn: 16879627 maglogo: N pubinfo: dt: 12/10/2015 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 113625111 10.1155/2015/504970 113625111 ppf: 1 ppct: 6 formats: tig: atl: Pyoderma Gangrenosum Simulating Necrotizing Fasciitis. aug: au: de Souza, Erik Friedrich Alex da Silva, Guilherme Almeida Rosa dos Santos, Gustavo Randow Motta, Heloisa Loureiro de Sá Neves Cardoso, Pedro Afonso Nogueira Moisés de Azevedo, Marcelo Costa Velho Mendes Pires, Karina Lebeis Motta, Rogerio Neves Silva, Walter de Araujo Eyer Ferry, Fernando Raphael de Almeida Pinto, Jorge Francisco da Cunha affil: Federal University of the State of Rio de Janeiro (UNIRIO), Mariz e Barros Street, 775 Tijuca, RJ, Brazil sug: ab: Pyoderma gangrenosum received this name due to the notion that this disease was related to infections caused by bacteria in the genus Streptococcus. In contrast to this initial assumption, today the disease is thought to have an autoimmune origin. Necrotizing fasciitis was first mentioned around the fifth century AD, being referred to as a complication of erysipelas. It is a disease characterized by severe, rapidly progressing soft tissue infection, which causes necrosis of the subcutaneous tissue and the fascia. On the third day of hospitalization after antecubital venipuncture, a 59-year-old woman presented an erythematous and painful pustular lesion that quickly evolved into extensive ulceration circumvented by an erythematous halo and accompanied by toxemia. One of the proposed etiologies was necrotizing fasciitis. The microbiological results were all negative, while the histopathological analysis showed epidermal necrosis and inflammatory infiltrate composed predominantly of dermal neutrophils. Pyoderma gangrenosum was considered as a diagnosis. After 30 days, the patient was discharged with oral prednisone (60 mg/day), and the patient had complete healing of the initial injury in less than two months. This case was an unexpected event in the course of the hospitalization which was diagnosed as pyoderma gangrenosum associated with myelodysplastic syndrome. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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