Severe pyoderma gangrenosum in association with a flame burn

Matsuda, Kaho; Okamoto, Osamu; Sato, Seiichi; Gamachi, Ayako; Hashimoto, Hiroyuki

doi:10.3109/23320885.2016.1149034

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…PG is a clinical diagnosis that is supported by the presence of wounds that paradoxically worsen following debridement, that improve the following immunosuppression with steroids, and that exhibit significant neutrophilic inflammation on tissue biopsy [ 17 ]. Albeit rarely reported in post-burn injuries, post-surgical PG may be non-specific, in appearance, and consideration must be made by the burn surgeon in the event of atypical nonhealing wounds [ 18 ]. Consideration was given to PG; however, following a nonspecific biopsy result showing only mild neutrophilic inflammation, PG was considered less likely to be the underlying reason for our patient’s impaired healing than ecthyma.…”

Section: Discussionmentioning

confidence: 99%

Providencia rettgeri Infection Compromising Post-Burn Recovery: A Lesson in the Importance of Follow-Up Care

Huff¹,

Blome-Eberwein²

2022

Cureus

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Early burn excision and skin grafting have been essential to improving patient outcomes following a burn injury. However, there remain significant barriers to recovery for burn patients, especially in the post-discharge period, as follow-up care is essential to the timely identification of complications. While the infection is a common complication of a post-burn wound, Providencia rettgeri is an uncommon bacterial pathogen that rarely causes wound infections. Although P. rettgeri has been infrequently reported as a cause of wound infections, it is a pathogen with growing clinical significance due to innate and acquired mechanisms of antimicrobial resistance that may complicate patient treatment. While our report describes the clinical outcome of a patient with a wound infection with Providencia rettgeri , it also represents a case that underscores the importance of social determinants of health in the care of burn patients. This is a case report of an elderly male who sustained burns to his bilateral arms and back and was subsequently readmitted to our burn unit for graft loss associated with a Providencia rettgeri wound infection. His readmission required multiple operations to resect necrotic tissue and nonviable graft due to delayed wound healing and incomplete graft take. Inadequate access to transportation led to significantly delayed follow-up for this patient.

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Section: Discussionmentioning

confidence: 99%

Providencia rettgeri Infection Compromising Post-Burn Recovery: A Lesson in the Importance of Follow-Up Care

Huff¹,

Blome-Eberwein²

2022

Cureus

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Surgical Evaluation of Flame Burn Injuries in Syrian Civilians

Uçak¹,

Çelikkaya

2019

Journal of Burn Care &Amp; Research

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The aim of the current study was to evaluate the severity and location of flame burns and the mortality rate of civilians affected by these in the Syrian Civil War and to present the surgical treatment outcomes of the injured civilians to be able to provide recommendations. This was a prospective hospital-based observational cohort study involving 573 patients with data collected from 2011 to 2018. All of these patients were Syrian civilians, and their flame burn injuries were related to the Syrian conflict. All burns were divided into four subgroups according to TBSA and compared. The groups of TBSA were compared as 0 to 25% (n = 97), 25 to 50% (n = 257), 50 to 75% (n = 135), and >75% (n = 84) (P = .413). Almost all had a second (n = 331; 57.7%) and third (n = 189; 32.9%) degree deep burns. The median burn size was 47% TBSA in the patients. The burn mechanism was mostly the flame type of burn (n = 467; 81.5%) as a result of fuel oil explosions, followed by bomb-related burns (n = 106; 18.5%) (P < .001). Mortality was seen in 223 (39%) due to the high surface area and reaching hospital too late at 1 to 8 days (P = .187). The findings of this study indicate that war-related flame burns result in an extremely high mortality rate and time is lost, which could protect against life-threatening outcomes.

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Casos de pioderma gangrenoso en pacientes con quemaduras: revisión de la literatura

2020

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Objetivo: Realizar una revisión de la literatura de casos de pioderma gangrenoso (PG) asociados con quemaduras, y comparar los resultados con un caso clínico de PG en un paciente con quemaduras, presentado por los autores en este mismo artículo. Método: Se revisó la literatura en las bases de datos PubMed, ScienceDirect y ClinicalKey, entre junio de 2006 y julio de 2020. De los 831 artículos encontrados, sólo 43 cumplieron con los criterios de inclusión. Nueve artículos, con 17 casos de estudio, fueron seleccionados. Se evaluó, además, el caso de estudio realizado por los autores (C18). Resultados: De los 18 casos totales, 50% fue mujer y, el restante 50%, hombre. En el 55% de los casos, las zonas con lesiones más afectadas fueron las del miembro inferior. El tratamiento más frecuentemente empleado fue con corticoides, en 88,9% de los casos. Hubo similitudes entre los casos estudiados. Conclusión: En lesiones traumáticas, como las quemaduras, el PG se presenta mayoritariamente en áreas sanas, ya cicatrizadas. Ocurre, con frecuencia, en los miembros inferiores, pero puede aparecer en cualquier área anatómica. Se presenta a cualquier edad, incluso en menores de edad, con mayor frecuencia en la quinta década de la vida. Conflicto de interés: Ninguno.

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Severe pyoderma gangrenosum in association with a flame burn

Abstract: We herein report a severe case of pyoderma gangrenosum occurring in a burn patient and discuss the possibility of occult complications of this pathological state in daily treatment.

Cited by 3 publications

References 19 publications

Providencia rettgeri Infection Compromising Post-Burn Recovery: A Lesson in the Importance of Follow-Up Care

Providencia rettgeri Infection Compromising Post-Burn Recovery: A Lesson in the Importance of Follow-Up Care

Surgical Evaluation of Flame Burn Injuries in Syrian Civilians

Casos de pioderma gangrenoso en pacientes con quemaduras: revisión de la literatura

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