Komplexe Therapie des Pyoderma gangraenosum nach Bagatelltrauma und primär chirurgischer Intervention bei Verdacht auf nekrotisierende Fasziitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-08-07

AUTHORS

Alexander Hofmann, Jan-Christoph Simon, Christoph Josten

ABSTRACT

This article presents the case of a rapidly progressing pyoderma gangrenosum (PG) following a minor trauma and surgical intervention. A 46-year-old patient was admitted to hospital after a minor trauma of the right lower leg with a suspected diagnosis of erysipelas bullosum. A magnetic resonance imaging (MRI) scan showed the suspicion of necrotizing fasciitis (NF) with indications for immediate incision and fascia resection. According to the results of the histopathological analysis and microbiological assessment without signs for a bacterial infection, high-dose steroid treatment and immunosuppressive treatment with cyclosporin A were initiated under the assumption of PG. Additionally, the patient was treated with hyperbaric oxygenation (HBO). The 2‑year follow-up showed a gradual restitution of the soft tissues. More... »

PAGES

68-75

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00113-019-00704-6

DOI

http://dx.doi.org/10.1007/s00113-019-00704-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1120196552

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31392345


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