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Case Reports in Orthopedics
Volume 2015, Article ID 571472, 3 pages
http://dx.doi.org/10.1155/2015/571472
Case Report

Pyoderma Gangrenosum Mimicking an Infected Wound following Dynamic Hip Screw Fixation

Trauma & Orthopaedics Department, Leighton Hospital, Middlewich Road, Crewe, Cheshire CW1 4QJ, UK

Received 5 July 2015; Accepted 17 August 2015

Academic Editor: Werner Kolb

Copyright © 2015 Metin Nizamoglu. 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

Pyoderma gangrenosum (PG) is an inflammatory ulcerative neutrophilic dermatosis that can occur following skin trauma. The correct diagnosis is not often made immediately as the condition can mimic an infective appearance. This leads to delays in the appropriate management of high dose steroids. Although debridement can offer aid in resolving lesions, this is contraindicated in the acute phase as this can cause acceleration of the pathogenic process. Biopsy of the lesion does not offer a definitive diagnosis; therefore suspicion must be maintained as the diagnosis is ultimately a clinical one. Any postoperative pustular ulcerative lesion not improving despite antibiotic therapy that also yields negative bacteriological and fungal studies should lead to consideration of this diagnosis. We document the first case of PG developing following intertrochanteric femur fracture fixation using dynamic hip screw.