Management of an unfortunate triad after breast reconstruction: Pyoderma gangrenosum, full-thickness chest wall defect and Acinetobacter Baumannii Infection

Journal of Plastic, Reconstructive and Aesthetic Surgery

Volumn 63, Issue 7, 2010, Pages

  Schintler, Michael V ^a   Grohmann, Martin ^a   Donia, Claudio ^a,b   Aberer, Elisabeth ^a   Scharnagl, Erwin ^a  

^a MEDICAL UNIVERSITY OF GRAZ   (Austria)

^b UNIVERSITY OF CATANIA   (Italy)

Author keywords

Acinetobacter baumannii; Breast reconstruction; Chest wall infection; MDR; Post surgical pyoderma gangrenosum; V.A.C.Instill

Indexed keywords

ANTIINFECTIVE AGENT; COLISTIN; CYCLOSPORIN A; IMMUNOGLOBULIN; POLYHEXANIDE; POLYPROPYLENE; PREDNISOLONE; STEROID; UNCLASSIFIED DRUG;

ABDOMEN; ACINETOBACTER INFECTION; ADULT; ARTICLE; BONE REMODELING; BONE RESECTION; BREAST RECONSTRUCTION; CASE REPORT; CLAVICLE; DEBRIDEMENT; DISEASE CONTROL; DONOR SITE; DRUG MEGADOSE; FEMALE; FULL THICKNESS SKIN GRAFT; GRAFT SURVIVAL; HUMAN; LATISSIMUS DORSI FLAP; MULTIDRUG RESISTANCE; OSTEOMYELITIS; POSTOPERATIVE INFECTION; PRIORITY JOURNAL; PYODERMA GANGRENOSUM; RIB; SKIN TRANSPLANTATION; SURGICAL EQUIPMENT; THORAX WALL DEFECT; TRANSVERSE RECTUS ABDOMINIS MUSCULOCUTANEOUS FLAP; VACUUM ASSISTED CLOSURE; WOUND CLOSURE; WOUND DRESSING; WOUND HEALING; WOUND HEALING IMPAIRMENT;

ACINETOBACTER BAUMANNII; ACINETOBACTER INFECTIONS; CROSS INFECTION; DEBRIDEMENT; DRUG RESISTANCE, MULTIPLE, BACTERIAL; FEMALE; HUMANS; MAMMAPLASTY; MIDDLE AGED; PYODERMA GANGRENOSUM; SURGICAL FLAPS; THORACIC WALL;

EID: 77953293755     PISSN: 17486815     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bjps.2009.12.013     Document Type: Article

References (10)

1. Quazzani A., Berthe J.V., and de Fontaine S. Post-surgical pyoderma gangrenosum: a clinical entity. Acta Chir Belg 107 (2007) 424-428
2. Horner B., El-Muttardi N., and Mercer D. Pyoderma gangrenosum complicating bilateral breast reduction. Br J Plast Surg 57 (2004) 679-681
3. Long C.C., Jessop J., Young M., et al. Minimizing the risk of postoperative pyoderma gangrenosum. Br J Dermatol 127 (1992) 45-48
4. Jain A., Nanchahal J., and Bunker C. Pyoderma gangrenosum occurring in a lower limb fasciocutaneous flap- a lesson to learn. Brit J Plast Surg 53 (2000) 437-447
5. Brocq L. A new contribution to the study of geometric phagedism. Ann Dermatol Syphil (Paris) 9 (1916) 1-39
6. Brunsting L.A., Goeckerman W.H., and ÓLeary P.A. Pyoderma (echthyma) gangrenosum. Clinical and experimental observations in five cases occurring in adults. Arch Derm Syph 22 (1930) 655-680
7. Su W.P., Davis M.D., Weenig R.H., et al. Pyoderma gangrenosum. Clinicopathological correlation and proposed diagnostic criteria. Int J Derm 43 (2004) 790-800
8. Weenig R.H., Davis M.D., and Dal P.R. Skin Ulcers misdiagnosed as pyoderma gangrenosum. N Engl J Med 347 (2002) 1412-1418
9. Rozen S.M., Nahebedian M.Y., and Manson P.N. Management strategies for pyoderma gangrenosum: case studies and review of literature. Ann Plast Surg 47 (2001) 310-315
10. Powell F.C., Su W.P., and Perry H.O. Pyoderma gangrenosum: classification and management. J Am Acad Dermatol 34 (1996) 395-409