Empiric Treatment of Classical Pyoderma Gangrenosum in the Outpatient Setting: A Case Report

Division

Capital

Hospital

LewisGale Medical Center

Document Type

Case Report

Publication Date

6-16-2024

Keywords

bacterial skin infection, chronic ulcer, leg ulcer, outpatient care, pyoderma gangrenosum

Disciplines

Bacterial Infections and Mycoses | Internal Medicine | Medicine and Health Sciences | Skin and Connective Tissue Diseases

Abstract

Pyoderma gangrenosum (PG) is a rare neutrophilic disorder that typically presents as painful, ulcerative lesions. It is a diagnosis of exclusion and is oftentimes associated with systemic conditions such as inflammatory bowel disease, rheumatoid arthritis, and other inflammatory conditions. PG remains difficult to diagnose, and a delay in recognizing the disease can contribute to appreciable morbidity in the population. Here, we present the case of a 42-year-old male with the classical subtype of PG in the outpatient clinic who failed three courses of antibiotics before responding to corticosteroids.

Publisher or Conference

Cureus

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