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Pyoderma Gangrenosum in Revision Total Hip Arthroplasty: Clinical and Histopathological Findings with a Seven-Year Follow-up: A Case Report.
Burnett, R Stephen J; Nair, Rajesh; Sawyer, Douglas M; Zbar, Ariella Z; Mathers, James W.
Afiliación
  • Burnett RSJ; Department of Orthopaedic Surgery, University of British Columbia, Island Health, Royal Jubilee Hospital, Rebalance MD, Suite 104, 3551 Blanshard Street, Victoria, BC V8Z-0B9, Canada.
  • Nair R; Rebalance MD, Suite 104, 3551 Blanshard Street, Victoria, BC V8Z-0B9.
  • Sawyer DM; Department of Anatomic Pathology, University of British Columbia, Island Health, Royal Jubilee Hospital, 5th floor, 1952 Bay Street, Victoria, BC V8R-1J8, Canada.
  • Zbar AZ; Island Medical Program, Medical Science Building, University of Victoria, P.O. Box 1700, STN CSC, Victoria, BC V8W-2Y2, Canada.
  • Mathers JW; Island Medical Program, Medical Science Building, University of Victoria, P.O. Box 1700, STN CSC, Victoria, BC V8W-2Y2, Canada.
JBJS Case Connect ; 5(4): e113, 2015.
Article en En | MEDLINE | ID: mdl-29252819
CASE: We describe the clinical and histopathological findings associated with a case of pyoderma gangrenosum (PG) after revision total hip arthroplasty. The patient developed an expanding purple-red, necrotic, ulcerative lesion at the surgical site, which was initially suspected to be either a surgical-site infection or warfarin-induced skin necrosis. After treatment with empiric intravenous antibiotics, surgical debridement, and vacuum-assisted closure of the wound, the patient had a painless hip with a remodeled scar and was asymptomatic at the seven-year follow-up. CONCLUSION: Confirmation of the diagnosis of surgical-site PG requires clinical-pathological correlation and familiarity with the PG skin lesion. Treatment of PG differs from treatment of infection; therefore, misdiagnosis and surgical treatment may exacerbate the clinical findings in PG.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: JBJS Case Connect Año: 2015 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies Idioma: En Revista: JBJS Case Connect Año: 2015 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos