Life Threatening Complication during Treatment of Erysipelas due to Undiagnosed Ischemia of the Calf.
Case Rep Med 2010;
2009:306969. [PMID:
20052407 PMCID:
PMC2797375 DOI:
10.1155/2009/306969]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2009] [Accepted: 10/20/2009] [Indexed: 11/17/2022] Open
Abstract
Erysipelas is a
superficial skin infection due to streptococci
strains, which usually responds well to
conservative treatment. Coexisting undiagnosed
ischemia of the extremity may lead to severe
complications. 57-year-old man developed large,
circumflex ulceration of his right calf within
two weeks before the admission after three-month treatment of erysipelas. Computer
angiography showed chronic occlusion of the
superficial femoral artery and the above knee
popliteal artery. Rapid debridement of the wound
took control over the infection. Patient
required complex vascular procedure which
allowed to prepare the ulcer for meshed skin
grafts. Patient was discharged home on 64th
hospital day with completely healed
ulcer.
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