dc.date.accessioned |
2021-06-03T11:02:24Z |
|
dc.date.available |
2021-06-03T11:02:24Z |
|
dc.date.issued |
2021 |
|
dc.identifier.issn |
2210-2612 |
|
dc.identifier.uri |
https://www.doi.org/10.1016/j.ijscr.2021.105697 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12619/95486 |
|
dc.description |
Bu yayın 06.11.1981 tarihli ve 17506 sayılı Resmî Gazete’de yayımlanan 2547 sayılı Yükseköğretim Kanunu’nun 4/c, 12/c, 42/c ve 42/d maddelerine dayalı 12/12/2019 tarih, 543 sayılı ve 05 numaralı Üniversite Senato Kararı ile hazırlanan Sakarya Üniversitesi Açık Bilim ve Açık Akademik Arşiv Yönergesi gereğince açık akademik arşiv sistemine açık erişim olarak yüklenmiştir. |
|
dc.description |
Bu yayın 06.11.1981 tarihli ve 17506 sayılı Resmî Gazete’de yayımlanan 2547 sayılı Yükseköğretim Kanunu’nun 4/c, 12/c, 42/c ve 42/d maddelerine dayalı 12/12/2019 tarih, 543 sayılı ve 05 numaralı Üniversite Senato Kararı ile hazırlanan Sakarya Üniversitesi Açık Bilim ve Açık Akademik Arşiv Yönergesi gereğince açık akademik arşiv sistemine açık erişim olarak yüklenmiştir. |
|
dc.description.abstract |
INTRODUCTION: Pyoderma Gangrenosum (PG) is a rare, benign and inflammatory disease characterized by ulcerative skin lesions. We report the successful management of an unusual case of PG following a caesarean section, with extensive cutaneous skin involvement and mimicking necrotizing fasciitis. PRESENTATION OF CASE: A 36-year-old woman was admitted with extensive surgical site inflammation after a caesarean section. Despite antibiotic treatment and wound care, the clinical course deteriorated rapidly. Wound debridement following negative pressure closure was performed due to an immediate increase in skin necrosis. A diagnosis of PG was reached based on the absence of a positive wound culture, resistance to wound debridement and the histopathological results. A course of high-dose corticosteroids was started, and a successful clinical course was finally achieved. The patient is now in the 14th month of remission, with no recurrence. DISCUSSION: PG is often reported after bowel surgery, especially after complicated stoma or diverticulitis, breast surgery and occasionally after C-sections. The diagnosis of pyoderma gangrenosum may be challenging because of a wide variety of macroscopic features and its pronounced similarity to necrotizing fasciitis. Treatment with systemic corticosteroids is the most common management option, while surgical treatment is extremely controversial. CONCLUSION: An extensive PG following surgery can mimic necrotizing fasciitis. An interdisciplinary treatment approach provides early diagnosis and effective treatment resulting in less morbidity. (C) 2021 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
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dc.language |
English |
|
dc.language.iso |
eng |
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dc.publisher |
ELSEVIER SCI LTD |
|
dc.relation.isversionof |
10.1016/j.ijscr.2021.105697 |
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dc.rights |
info:eu-repo/semantics/openAccess |
|
dc.subject |
Inflammatory disease |
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dc.subject |
Necrotizing fasciitis |
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dc.subject |
Pyoderma gangrenosum |
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dc.subject |
Case report |
|
dc.subject |
Cesarean section |
|
dc.title |
An extensive pyoderma gangrenosum mimicking necrotizing fasciitis: An unusual case report |
|
dc.type |
Article |
|
dc.contributor.authorID |
KARA, SEYMA/0000-0003-0639-5464 |
|
dc.contributor.authorID |
ASIKUZUNOGLU, FEYZA/0000-0001-9193-9096 |
|
dc.contributor.authorID |
yaldiz, mahizer/0000-0001-6981-457X |
|
dc.contributor.authorID |
Aziret, Mehmet/0000-0001-6758-7289 |
|
dc.identifier.volume |
81 |
|
dc.relation.journal |
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS |
|
dc.identifier.wos |
WOS:000636326200007 |
|
dc.identifier.doi |
10.1016/j.ijscr.2021.105697 |
|
dc.contributor.author |
Aziret, Mehmet |
|
dc.contributor.author |
Kara, Seyma |
|
dc.contributor.author |
Yaldiz, Mahizer |
|
dc.contributor.author |
Kose, Nur |
|
dc.contributor.author |
Asikuzunoglu, Feyza |
|
dc.contributor.author |
Cevrioglu, Arif Serhan |
|
dc.relation.publicationcategory |
Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı |
|
dc.identifier.pmıd |
33691271 |
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dc.rights.openaccessdesignations |
Green Published, Other Gold |
|