Radhika A G, Singal Archana, Radhakrishnan Gita, Singh Smita
Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
Department of Dermatology and Venereology, University College of Medical Sciences and Guru Teg Bahadur Hospital Delhi, India.
Qatar Med J. 2015 Apr 10;2015(1):1. doi: 10.5339/qmj.2015.1. eCollection 2015.
A 22-year-old booked primigravida underwent lower segment caesarean section for breech presentation. She developed signs and symptoms of wound infection by the fourth postoperative day. This was initially managed with antibiotics and wound dressing, but debridement was later undertaken after consulting surgeons. This resulted in an alarming worsening of the wound with sudden and fast increase in its size along with systemic symptoms. Wound biopsy established the diagnosis of pyoderma gangrenosum. The patient's management included oral medication with prednisolone, cyclosporin and dapsone and wound care. There was a dramatic response to this treatment. The wound completely healed by the eighth postoperative month. The oral medications were tapered off slowly and stopped by that time.
一名22岁的初产妇因臀位行下段剖宫产术。术后第四天她出现了伤口感染的症状和体征。最初采用抗生素和伤口换药进行处理，但后来在咨询外科医生后进行了清创。这导致伤口令人担忧地恶化，伤口大小突然迅速增加并伴有全身症状。伤口活检确诊为坏疽性脓皮病。患者的治疗包括口服泼尼松龙、环孢素和氨苯砜以及伤口护理。对此治疗有显著反应。术后第八个月伤口完全愈合。口服药物逐渐减量并在那时停用。
