An aggressive course of pyoderma gangrenosum mimicking bacterial osteomyelitis after open reduction and internal fixation of a distal radius fracture with a titanium plate
Michał Wasiak,
Michał Ciszek,
Ireneusz Babiak,
Piotr Wasilewski,
Paweł Łęgosz,
Bartosz Kieroński,
Paweł Małdyk
Affiliations
Michał Wasiak
Department of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
Michał Ciszek
Department of Immunology, Transplantology and Internal Medicine, Medical University of Warsaw, Poland
Ireneusz Babiak
Orthopedic and Trauma Hospital Carolina Medical Center, Warsaw, Poland
Piotr Wasilewski
Department of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
Paweł Łęgosz
Department of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
Bartosz Kieroński
Department of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
Paweł Małdyk
Department of Orthopaedics and Traumatology, Medical University of Warsaw, Poland
Pyoderma gangrenosum (PG) is a rare condition characterized by the development of aseptic, non-healing skin ulcers. Any skin trauma, such as a surgical incision, can trigger an outbreak of lesions. Our case and literature review show that a physician should consider PG in every event of a non-healing, aseptic wound after surgery. The treatment of PG requires collaboration within a multidisciplinary team and immunosuppressive therapy is the first line of treatment, while surgical interventions should be avoided in the active stage of PG.
