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Orthopaedic Trauma-Induced Pyoderma Gangrenosum: A Case Report
Skyler Hoelscher1, Abigail Hunter, Eric Barcak
1Department of Orthopaedic Surgery, JPS Health Network, Fort Worth, Texas.
Case:
We present a case of a 60-year-old polytraumatized man who developed postoperative pyoderma gangrenosum (PG) after his initial stabilization procedures, mimicking a postoperative infection. This caused a delay in diagnosis, leading to progression of his wounds and a delay in initiation of the appropriate treatment. Once his PG was appropriately treated, his clinical status and wounds improved. He underwent successful wound coverage by plastic surgery and has been recovering from his injuries.
Conclusion:
Prompt identification and initiation of treatment for postoperative PG is critical to avoid exacerbation of wounds and subsequent morbidity to the patient.
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