Pyoderma gangrenosum after totally implanted central venous access device insertion
نویسندگان
چکیده
BACKGROUND Pyoderma gangrenosum is an aseptic skin disease. The ulcerative form of pyoderma gangrenosum is characterized by a rapidly progressing painful irregular and undermined bordered necrotic ulcer. The aetiology of pyoderma gangrenosum remains unclear. In about 70% of cases, it is associated with a systemic disorder, most often inflammatory bowel disease, haematological disease or arthritis. In 25-50% of cases, a triggering factor such as recent surgery or trauma is identified. Treatment consists of local and systemic approaches. Systemic steroids are generally used first. If the lesions are refractory, steroids are combined with other immunosuppressive therapy or to antimicrobial agents. CASE PRESENTATION A 90 years old patient with myelodysplastic syndrome, seeking regular transfusions required totally implanted central venous access device (Port-a-Cath(R)) insertion. Fever and inflammatory skin reaction at the site of insertion developed on the seventh post-operative day, requiring the device's explanation. A rapid progression of the skin lesions evolved into a circular skin necrosis. Intravenous steroid treatment stopped the necrosis' progression. CONCLUSION Early diagnosis remains the most important step to the successful treatment of pyoderma gangrenosum.
منابع مشابه
Pyoderma Gangrenosum Triggered by Surgical Procedures in Patients with Underlying Systemic Diseases
Case Report Case 1 A 68-year-old female was diagnosed with acute myeloid leukemia, and hospitalized for chemotherapy. A central venous catheter was inserted into her chest. A few days later, erythema appeared at the site of insertion, which spread rapidly with redness and swelling. Initial treatment with antibiotics was ineffective, and she was referred to our department. Physical examination r...
متن کاملRandomized controlled trials in central vascular access devices: A scoping review
BACKGROUND Randomized controlled trials evaluate the effectiveness of interventions for central venous access devices, however, high complication rates remain. Scoping reviews map the available evidence and demonstrate evidence deficiencies to focus ongoing research priorities. METHOD A scoping review (January 2006-December 2015) of randomized controlled trials evaluating the effectiveness of...
متن کاملA prospective evaluation on external jugular vein cut-down approach for TIVAD implantation
BACKGROUND Totally implantable venous access devices can be implanted both by percutaneous approaches and by surgical approaches with cephalic vein or external jugular vein cut-down techniques that are related to low intraoperative complication rates. The authors report a prospective evaluation of 83 consecutive external jugular vein cut-down approaches for totally implantable venous access dev...
متن کاملIntroducing a Case of Pyoderma Gangrenosum in the Breast
Introduction: Pyoderma gangrenosum (PG) of the breast is a rare that present as a painful ulcer on the skin. It usually affects people in their 20s to 50s and occurs in both men and women. Typically, PG affects the legs in adults. In children, it may affect the legs, buttocks, head, and neck. Pyoderma gangrenosum is characterized by a papule, nodule, or pustule that progresses to an injured les...
متن کامل[Pyoderma gangrenosum associated with hidradenitis suppurativa: a case report and review of the literature].
Pyoderma gangrenosum is an inflammatory disease that has been found to be associated with many systemic illnesses. The case presented here is of a man with a 20-year history of hidradenitis suppurativa who developed pyoderma gangrenosum. The pyoderma lesions appeared as a single outbreak which resolved totally after immunosuppressive treatment. This association has been reported only rarely in ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- World Journal of Surgical Oncology
دوره 6 شماره
صفحات -
تاریخ انتشار 2008