A surgeon's nightmare: pyoderma gangrenosum with pathergy effect mimicking necrotising fasciitis.
A 53-year-old woman was admitted for vulval swelling and fever. She was initially diagnosed with vulval cellulitis and given parenteral antibiotics. Within 1 week, she developed necrotic-looking skin lesions extending from her vulva to her buttock. Emergency surgical debridement with diversion colos...
| Publicado en: | BMJ Case Reports Vol. 2017; pp. 1 - 5 |
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| Autor principal: | |
| Formato: | Journal Article |
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BMJ Publishing Group
12/19/2017
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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=126954120&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126954120 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1757790X B755 jtl: BMJ Case Reports issn: 1757790X maglogo: N pubinfo: dt: 12/19/2017 vid: 2017 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 126954120 10.1136/bcr-2017-222145 126954120 ppf: 1 ppct: 4 formats: tig: atl: A surgeon's nightmare: pyoderma gangrenosum with pathergy effect mimicking necrotising fasciitis. aug: au: Yee Slocum, Amanda Mun affil: Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China. sug: ab: A 53-year-old woman was admitted for vulval swelling and fever. She was initially diagnosed with vulval cellulitis and given parenteral antibiotics. Within 1 week, she developed necrotic-looking skin lesions extending from her vulva to her buttock. Emergency surgical debridement with diversion colostomy was performed in view of suspected necrotising fasciitis. Shortly after the surgery, she developed necrotic-looking skin lesions at the peripheral venous cannula insertion site, central line insertion site, and around her surgical wounds and stoma. A second surgical debridement was performed and shortly afterwards, similar skin lesions appeared around her surgical wounds. Her clinical progression was suggestive of pyoderma gangrenosum with pathergy effect. Hence, she was started on topical steroid, systemic steroid and immunosuppressant. The skin lesions responded well to medical therapy. Further systemic workup for conditions associated with this disease revealed findings suspicious for myelodysplastic syndrome. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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