A Case of Pyoderma Gangrenosum Misdiagnosed as Necrotizing Infection: A Potential Diagnostic Catastrophe
Joint Authors
Shroff, Anjali
Saffie, Medina G.
Source
Case Reports in Infectious Diseases
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-26
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
In this article, we present a case of pyoderma gangrenosum (PG), misdiagnosed initially as a necrotizing infection that significantly worsened due to repeated surgical debridement and aggressive wound care therapy, almost resulting in limb amputation despite antibiotic therapy.
The PG lesions improved after pancytopenia were further investigated, and the diagnosis and treatment of an underlying hematologic malignancy was initiated.
The diagnosis and management of PG is challenging given the paucity of robust clinical evidence, lack of standard diagnostic criteria, and absence of clinical practice guidelines.
It is imperative that clinicians recognize PG as a clinical diagnosis that must be considered in any patient with enlarging, sterile, necrotic lesions that are unresponsive to prolonged and appropriate antibiotics.
Early recognition can prevent devastating sequelae such as deep tissue and bone infections associated with a chronic open wound, severe cosmetic morbidity, and potential limb amputation.
American Psychological Association (APA)
Saffie, Medina G.& Shroff, Anjali. 2018. A Case of Pyoderma Gangrenosum Misdiagnosed as Necrotizing Infection: A Potential Diagnostic Catastrophe. Case Reports in Infectious Diseases،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1144688
Modern Language Association (MLA)
Saffie, Medina G.& Shroff, Anjali. A Case of Pyoderma Gangrenosum Misdiagnosed as Necrotizing Infection: A Potential Diagnostic Catastrophe. Case Reports in Infectious Diseases No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1144688
American Medical Association (AMA)
Saffie, Medina G.& Shroff, Anjali. A Case of Pyoderma Gangrenosum Misdiagnosed as Necrotizing Infection: A Potential Diagnostic Catastrophe. Case Reports in Infectious Diseases. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1144688
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144688