title: [Pyoderma gangrenosum after intramedullary nailing of tibial shaft fracture: A differential diagnosis to necrotizing fasciitis].
abstract: Pyoderma gangrenosum is a rare non-infectious neutrophilic dermatitis, whereas necrotizing fasciitis is a life-threatening bacterial soft tissue infection of the fascia and adjacent skin. As in the case described here after intramedullary nailing, the clinical appearance of both diseases can be similar. Because of the completely different therapeutic approach and a worse outcome in the case of false diagnosis, pyoderma gangrenosum should always be taken into consideration before treating necrotizing fasciitis.
authors: BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland. Simon.Hackl@bgu-murnau.de.
authors: S
authors: S
authors: Hackl
authors: BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland.
authors: P
authors: P
authors: Merkel
authors: BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland.
authors: S
authors: S
authors: Hungerer
authors: BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland.
authors: J
authors: J
authors: Friederichs
authors: Klinikum Kempten, Kempten, Deutschland.
authors: N
authors: N
authors: Müller
authors: BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland.
authors: M
authors: M
authors: Militz
authors: BG Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau, Deutschland.
authors: V
authors: V
authors: Bühren
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000209:etiology*; D017511:Pyoderma Gangrenosum / Q000175:diagnosis / Q000209:etiology; D013978:Tibial Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
keywords: Early infection; Intramedullary nailing; Necrotizing fasciitis; Pathergy phenomenon; Pyoderma gangrenosum