title: Anterior cruciate ligament reconstruction complicated by pyoderma gangrenosum.
abstract: We report a case of pyoderma gangrenosum as a complication of an anterior cruciate ligament reconstruction in a patient with inflammatory bowel disease, which was misdiagnosed initially as a post-operative wound infection. An early dermatology opinion and skin biopsy should be considered  in cases of suspected infection where thorough surgical debridement and antimicrobial therapy has failed to improve the clinical picture.
authors.affiliation: Derby Hospitals NHS Foundation Trust, UK; Trauma and Orthopaedics Department, Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UK. elmonzer@yahoo.com
authors.forename: E
authors.initials: E
authors.lastname: Bagouri
authors.forename: Jon
authors.initials: J
authors.lastname: Smith
authors.forename: G
authors.initials: G
authors.lastname: Geutjens
mesh_terms: D000058:Accidental Falls; D000328:Adult; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction / Q000009:adverse effects*; D003093:Colitis, Ulcerative / Q000150:complications; D003646:Debridement / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D007718:Knee Injuries / Q000209:etiology / Q000601:surgery; D008297:Male; D017511:Pyoderma Gangrenosum / Q000175:diagnosis / Q000209:etiology*; D013530:Surgical Wound Infection / Q000175:diagnosis; D054159:Torsion, Mechanical