Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation
Pyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Alth...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/571472 |
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| _version_ | 1832545617950277632 |
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| author | Metin Nizamoglu |
| author_facet | Metin Nizamoglu |
| author_sort | Metin Nizamoglu |
| collection | DOAJ |
| description | Pyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Although debridement can offer aid in resolving lesions, this is contraindicated in the acute phase as this can cause acceleration of the pathogenic process. Biopsy of the lesion does not offer a definitive diagnosis; therefore suspicion must be maintained as the diagnosis is ultimately a clinical one. Any postoperative pustular ulcerative lesion not improving despite antibiotic therapy that also yields negative bacteriological and fungal studies should lead to consideration of this diagnosis. We document the first case of PG developing following intertrochanteric femur fracture fixation using dynamic hip screw. |
| format | Article |
| id | doaj-art-fd0ee1f00e4b4e718f68f1eb9bc8fbe0 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-fd0ee1f00e4b4e718f68f1eb9bc8fbe02025-02-03T07:25:20ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/571472571472Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw FixationMetin Nizamoglu0Trauma & Orthopaedics Department, Leighton Hospital, Middlewich Road, Crewe, Cheshire CW1 4QJ, UKPyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Although debridement can offer aid in resolving lesions, this is contraindicated in the acute phase as this can cause acceleration of the pathogenic process. Biopsy of the lesion does not offer a definitive diagnosis; therefore suspicion must be maintained as the diagnosis is ultimately a clinical one. Any postoperative pustular ulcerative lesion not improving despite antibiotic therapy that also yields negative bacteriological and fungal studies should lead to consideration of this diagnosis. We document the first case of PG developing following intertrochanteric femur fracture fixation using dynamic hip screw.http://dx.doi.org/10.1155/2015/571472 |
| spellingShingle | Metin Nizamoglu Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation Case Reports in Orthopedics |
| title | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
| title_full | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
| title_fullStr | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
| title_full_unstemmed | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
| title_short | Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation |
| title_sort | pyoderma gangrenosum mimicking an infected wound following dynamic hip screw fixation |
| url | http://dx.doi.org/10.1155/2015/571472 |
| work_keys_str_mv | AT metinnizamoglu pyodermagangrenosummimickinganinfectedwoundfollowingdynamichipscrewfixation |