PYODERMA-GANGRENOSUM FOLLOWING CESAREAN DELIVERY

Citation
Ua. Steadman et al., PYODERMA-GANGRENOSUM FOLLOWING CESAREAN DELIVERY, Obstetrics and gynecology, 91(5), 1998, pp. 834-836
Citations number
6
Categorie Soggetti
Obsetric & Gynecology
Journal title
ISSN journal
00297844
Volume
91
Issue
5
Year of publication
1998
Part
2
Supplement
S
Pages
834 - 836
Database
ISI
SICI code
0029-7844(1998)91:5<834:PFCD>2.0.ZU;2-E
Abstract
Background: Pyoderma gangrenosum is a rare, chronic inflammatory disea se that can develop after minor trauma or surgery. Most reports of thi s condition developing after abdominal surgery have been reported foll owing ostomy formation. A number of systemic diseases have been associ ated with this disorder, most commonly inflammatory bowel disease, tho ugh 40-50% of cases have no associated systemic disease. Case: A 32-ye ar-old woman developed spiking fever and purulent appearing wound disc harge with a rolled erythematous border after cesarean delivery. Her c ondition worsened despite various regimens of intravenous antibiotics and local treatment. Pyoderma gangrenosum was diagnosed. Treatment wit h steroids resolved the lesion, and associated systemic diseases were not found. Conclusion: Consideration of the diagnosis of pyoderma gang renosum in cases of apparent wound infections unresponsive to antibiot ics should result in early diagnosis and treatment of this condition. (C) 1998 by The American College of Obstetricians and Gynecologists.