Buis DR, Arnts H, Slot KM, Best MG, Vandertop WP. Uncommon presentations of a neurosurgical site infection: impaired wound healing with hypergranulation and crust formation.
Acta Neurochir (Wien) 2022;
164:875-879. [PMID:
34859306 DOI:
10.1007/s00701-021-05041-5]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 10/19/2021] [Indexed: 11/25/2022]
Abstract
Hypergranulation and crust formation after cranial neurosurgery is rare. We report three patients with an uncommon form of hypergranulation with extensive crust formation after cranial neurosurgery, associated with a St. Aureus infection of the scalp, and propose that this is a form of pyogenic dermatitis, as is commonly seen among domestic animals with a coat of fur. It can be treated conservatively. We propose a treatment algorithm.
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