一名孕妇轻微创伤后发生坏疽性脓皮病，误诊为坏死性筋膜炎：病例报告及文献复习
Pyoderma gangrenosum after minor trauma in a pregnant woman, mistaken for necrotizing fasciitis: report of a case and literature review.
作者信息
De Menezes Daniel, Yusuf Erlangga, Borens Olivier
机构信息
Orthopedic Septic Surgical Unit, Department of Surgery and Anaesthesiology, Lausanne University Hospital , Lausanne, Switzerland .
出版信息
Surg Infect (Larchmt). 2014 Aug;15(4):441-4. doi: 10.1089/sur.2012.110. Epub 2014 Jan 29.
BACKGROUND
Pyoderma gangrenosum is an ulcerative, non-infectious skin disorder. However, it can be mistaken as necrotizing fasciitis, a life-threatening infective condition. We describe here a case of pyoderma gangrenosum after minor trauma treated as necrotizing fasciitis.
METHODS
Case report and literature review.
CASE REPORT
A 27-year-old pregnant nurse had a pretibial wound after a fall on a rough surface. When erythema developed and no response to empirical antibiotic therapy was observed, multiple debridements were performed. Paradoxically, her condition became worse. The diagnosis of pyoderma gangrenosum was suspected. Treatment with corticosteroids was started and this was successful.
CONCLUSION
Pyoderma gangrenosum can mimic infectious necrotizing fasciitis. Differentiating these two conditions is important because mistreatment of pyoderma can lead to disfigurement.
背景
坏疽性脓皮病是一种溃疡性非感染性皮肤病。然而，它可能被误诊为坏死性筋膜炎，一种危及生命的感染性疾病。我们在此描述一例因轻微创伤后发生的坏疽性脓皮病被误诊为坏死性筋膜炎的病例。
方法
病例报告及文献复习。
病例报告
一名27岁的怀孕护士在粗糙地面摔倒后胫前出现伤口。当出现红斑且经验性抗生素治疗无效时，进行了多次清创术。矛盾的是，她的病情恶化了。怀疑为坏疽性脓皮病。开始使用皮质类固醇治疗并取得成功。
结论
坏疽性脓皮病可酷似感染性坏死性筋膜炎。区分这两种疾病很重要，因为坏疽性脓皮病治疗不当会导致毁容。
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