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Case Reports in Infectious Diseases
Volume 2014, Article ID 589632, 4 pages
http://dx.doi.org/10.1155/2014/589632
Case Report

Atypical Pyoderma Gangrenosum Mimicking an Infectious Process

1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada V6Z 1Y6
2Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada V6Z 1Y6
3Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, BC, Canada V6Z 1Y6

Received 6 February 2014; Accepted 29 May 2014; Published 12 June 2014

Academic Editor: Paola Di Carlo

Copyright © 2014 Derek To et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a patient with atypical pyoderma gangrenosum (APG), which involved the patient’s arm and hand. Hemorrhagic bullae and progressive ulcerations were initially thought to be secondary to an infectious process, but a biopsy revealed PG. Awareness of APG by infectious disease services may prevent unnecessary use of broad-spectrum antibiotics.