Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29854503
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Case+Rep+Infect+Dis
2018 ; 2018
(ä): 8907542
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A Case of Pyoderma Gangrenosum Misdiagnosed as Necrotizing Infection: A Potential
Diagnostic Catastrophe
#MMPMID29854503
Saffie MG
; Shroff A
Case Rep Infect Dis
2018[]; 2018
(ä): 8907542
PMID29854503
show ga
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.