Brzeziński Tomasz, Ostrowski Tomasz, Skórski Maciej
Department of General and Thoracic Surgery, Medical University of Warsaw, St. Banacha 1a, 02-097 Warsaw, Poland.
Case Rep Med. 2009;2009:306969. doi: 10.1155/2009/306969. Epub 2009 Dec 21.
Erysipelas is a superficial skin infection due to streptococci strains, which usually responds well to conservative treatment. Coexisting undiagnosed ischemia of the extremity may lead to severe complications. 57-year-old man developed large, circumflex ulceration of his right calf within two weeks before the admission after three-month treatment of erysipelas. Computer angiography showed chronic occlusion of the superficial femoral artery and the above knee popliteal artery. Rapid debridement of the wound took control over the infection. Patient required complex vascular procedure which allowed to prepare the ulcer for meshed skin grafts. Patient was discharged home on 64th hospital day with completely healed ulcer.
丹毒是由链球菌菌株引起的一种浅表皮肤感染，通常对保守治疗反应良好。并存的未被诊断出的肢体缺血可能导致严重并发症。一名57岁男性在接受丹毒治疗三个月后，入院前两周内右小腿出现大面积环形溃疡。计算机血管造影显示股浅动脉和膝上腘动脉慢性闭塞。对伤口进行快速清创控制了感染。患者需要进行复杂的血管手术，为网状皮肤移植准备溃疡创面。患者在住院第64天出院，溃疡完全愈合。
