Could your case of necrotising fascitis be Pyoderma gangrenosum?
Necrotising fascitis is a fulminant infective process which can result in significant morbidity and can indeed be life threatening. It needs to be recognised early and managed aggressively with extensive surgical debridement followed by appropriate antibiotics. On the other hand, Pyoderma gangrenosum is a disease process that needs to be managed non-surgically. We present one such case, the diagnosis of which had treaded along the thin line between the two.
Mahajan
A L
AL
Department of Plastic and Reconstructive Surgery, St James's Hospital, Dublin, Ireland. almahajan@yahoo.com
Ajmal
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N
Barry
J
J
Barnes
L
L
Lawlor
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D
D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D003646:Debridement; D003937:Diagnosis, Differential; D018450:Disease Progression; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D017511:Pyoderma Gangrenosum / Q000175:diagnosis* / Q000473:pathology; D013530:Surgical Wound Infection / Q000175:diagnosis*; D017211:Treatment Failure