Open AccessUntreatable Surgical Site Infection
Author(s) -
Ilan Berlinrut,
Nitasha Bhatia,
Jonathan M. Josse,
David de Vinck,
Sanjeev Kaul
Publication year - 2014
Publication title -
plastic and reconstructive surgery. global open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.759
H-Index - 28
ISSN - 2169-7574
DOI - 10.1097/gox.0000000000000114
Subject(s) - medicine , debridement (dental) , necrotic tissue , pyoderma gangrenosum , surgery , infiltration (hvac) , surgical debridement , abdomen , biopsy , antibiotics , presentation (obstetrics) , antibiotic therapy , disease , pathology , biology , physics , microbiology and biotechnology , thermodynamics
Summary: Pyoderma gangrenosum (PG) is an inflammatory disease characterized by sterile infiltration of the skin by neutrophils. We describe a case of a 63-year-old woman who developed PG following an abdominal wall reconstruction. Her initial presentation was thought to be consistent with a surgical site infection. Antibiotic therapy was initiated, and the patient was taken for multiple irrigation/lavage of her abdomen and debridement of necrotic tissue. Wound cultures remained negative, and maximal antibiotic coverage did not halt tissue breakdown. A trial of steroids was initiated, and the patient’s condition subsequently improved. Tissue biopsy results were compatible with the diagnosis of PG