Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature
Joint Authors
Ayoubi, Noura
Javeed, Zaydi
Cutro, Raymond
Baldwin, Brooke T.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-11-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis characterized by noninfectious, inflammatory, ulcerating lesions.
Pathergy can be seen in these patients, whereby minor trauma or surgery can result in the development of PG ulcerations.
Here, we present a case of PG following pacemaker implantation.
A 76-year-old male with a history of rheumatoid arthritis presented to the cardiology team with symptomatic bradycardia.
Indications for implantation were met, and the procedure was performed in a routine fashion.
The patient returned to clinic for follow-up four days later, complaining of pain at the incision site, coupled with erythema and purulent drainage.
Consultations with an infectious disease specialist and a dermatologist were requested, and the diagnosis of pyoderma gangrenosum was considered.
The patient underwent device removal and received systemic corticosteroids at a dose of 1 mg/kg prednisone with complete lesion healing in 3 weeks.
While being maintained on steroids, the patient underwent reimplantation of a new pacemaker on the contralateral side without complication and had a normal postoperative course.
We present this case report, along with the review of literature, in order to highlight the multidisciplinary approach to management, which requires dermatologic treatment in order to achieve pacemaker success.
American Psychological Association (APA)
Ayoubi, Noura& Javeed, Zaydi& Cutro, Raymond& Baldwin, Brooke T.. 2019. Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature. Case Reports in Cardiology،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1134012
Modern Language Association (MLA)
Ayoubi, Noura…[et al.]. Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature. Case Reports in Cardiology No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1134012
American Medical Association (AMA)
Ayoubi, Noura& Javeed, Zaydi& Cutro, Raymond& Baldwin, Brooke T.. Pyoderma Gangrenosum following Pacemaker Implantation: A Case Report and Review of Literature. Case Reports in Cardiology. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1134012
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134012