Hilton, Rachael and Berryman, Jefferson and Handoyo, Karina (2017) Pyoderma Gangrenosum Masquerading as Necrotizing Fasciitis: Stepping Away from Cognitive Shortcuts. European Journal of Case Reports in Internal Medicine, 4 (7). ISSN 2284-2594
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Abstract
A patient with post-Cesarean wound complication was treated for necrotizing fasciitis (NF) with sharp debridement and broad-spectrum antibiotics. Several operations and three weeks later, her abdominal skin, subcutaneous fat, right-sided rectus abdominus, and underlying fascia had been removed without any improvement in granulation tissue. Original pathology samples demonstrated sheets of necrosis consistent with NF, but were re-reviewed by a dermatopathologist who diagnosed the patient with pyoderma gangrenosum (PG). She was started on high-dose steroids and dapsone, and her wound quickly showed signs of improvement. Anchor bias delayed the initiation of steroids and diagnosis of PG as the surgical, medical, and consulting teams were hesitant to stray from the diagnosis of NF.
| Item Type: | Article |
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| Uncontrolled Keywords: | pyoderma gangrenosum; necrotizing fasciitis; anchor bias |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 20 Nov 2017 16:21 |
| Last Modified: | 20 Nov 2017 16:21 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/16747 |
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