Pyoderma gangrenosum mimicking mediastinitis after cardiac surgery: a case study.
Pyoderma gangrenosum is a dermatosis which associates both, necrosis and polynuclear infiltration of the skin. While the aetiology is not well understood, the disease is thought to be due to immune system dysfunction and it can occur after minor trauma or surgery. Although it has seldom been reporte...
| Publicado en: | Journal of Wound Care Vol. 25; no. 6; pp. 362 - 364 |
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| Autores principales: | , |
| Formato: | case study pictorial Journal Article |
| Publicado: |
Mark Allen Holdings Limited
Jun2016
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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=116280663&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116280663 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: Jun2016 vid: 25 iid: 6 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 116280663 116280663 116280663 10.12968/jowc.2016.25.6.362 116280663 ppf: 362 ppct: 2 formats: tig: atl: Pyoderma gangrenosum mimicking mediastinitis after cardiac surgery: a case study. aug: au: Hysi, I. Vincentelli, A. affil: Department of Cardiac Surgery, University Teaching Hospital of Lille, Lille, France sug: subj: Pyoderma Gangrenosum Diagnosis Mediastinitis Diagnosis, Differential Cardiac Surgery Male Adult Postoperative Complications Wound Healing Adult: 19-44 years Male ab: Pyoderma gangrenosum is a dermatosis which associates both, necrosis and polynuclear infiltration of the skin. While the aetiology is not well understood, the disease is thought to be due to immune system dysfunction and it can occur after minor trauma or surgery. Although it has seldom been reported after cardiac surgery in the literature, it is not exceptional. Here we report a case of pyoderma gangrenosum after coronary artery bypass grafting in a 76-year-old patient with chronic idiopathic myelofibrosis. Diagnosis was clinically made and the patient was treated with systemic steroids. The lesions showed a remarkable improvement with this therapy. In the field of cardiac surgery, physicians of the surgical team and nurses should think about this diagnosis in all rapidly expanding postoperative lesions without improvement after debridement or antibiotics. Declaration of interest: The authors have no conflicts of interest to declare. pubtype: Academic Journal doctype: case study pictorial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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