• Der Unfallchirurg · Apr 2022

    [Pyoderma gangrenosum in a grade 3 open fracture after a forest accident : When one cannot see the wood for the trees].

    • Annika Hartmann, Sonja Bertschy, Frank J P Beeres, Reto Babst, and Björn-Christian Link.
    • Orthopädische Klinik Luzern, St Anna Straße 32, 6006, Luzern, Schweiz. annika.hartmann00@gmail.com.
    • Unfallchirurg. 2022 Apr 14.

    AbstractWe describe the case of a forest worker with a Gustilo-Anderson III dislocation fracture of the ankle joint. After initial external fixation, round necrotic skin lesions with hyperemic border walls appeared on the entire lower leg. Recurrent débridements worsened the soft tissue instead of improving it. An immunoglobulin and corticosteroid treatment was initiated, which diminished the inflammatory reaction and granulation of soft tissue began. Posttraumatic pyoderma gangrenosum is a rare diagnosis. Nevertheless, it needs to be on the list of differential diagnoses if uncommon soft tissue reactions appear.© 2022. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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