Frequently debrided and misdiagnosed: Post-surgical pyoderma gangrenosum
Author(s) -
Lindsey W. Fraser,
Stephanie A. Castillo,
Shabnam Momtahen,
Michael Chapman
Publication year - 2019
Publication title -
skin the journal of cutaneous medicine
Language(s) - English
Resource type - Journals
ISSN - 2574-1624
DOI - 10.25251/skin.3.2.45
Subject(s) - pyoderma gangrenosum , medicine , surgical debridement , fasciitis , debridement (dental) , surgery , surgical wound , percutaneous , necrotising fasciitis , dermatology , disease
Post-surgical pyoderma gangrenosum is rare. On average it develops 10 days after a surgical procedure. This timeframe is similar to post-operative wound infections, including post-operative necrotizing fasciitis. Consequently, post-surgical pyoderma gangrenosum is frequently misdiagnosed as an infection, leading to detrimental surgical debridement, unnecessary antibiotic use, and delay of proper treatment. We review a case of pyoderma gangrenosum of the right inguinal crease following percutaneous coronary catheterization and review of the literature.
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