Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Schintler, MV; Grohmann, M; Donia, C; Aberer, E; Scharnagl, E.
Management of an unfortunate triad after breast reconstruction: pyoderma gangrenosum, full-thickness chest wall defect and Acinetobacter Baumannii Infection.
J Plast Reconstr Aesthet Surg. 2010; 63(7):e564-e567
Doi: 10.1016/j.bjps.2009.12.013
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Schintler Michael
- Co-Autor*innen der Med Uni Graz
- Aberer Elisabeth
- Grohmann Martin
- Scharnagl Erwin
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- Abstract:
- If diagnosed late, post-surgical pyoderma gangrenosum (PSPG) is a rare, tricky and potentially life-threatening complication. Once diagnosed, immunosuppressive agents may provoke further complications. Well-intentioned extensive serial debridement may cause deep skin and soft-tissue defects, requiring skin grafting and possible flap surgery. The combination of necessary immunosuppressive treatment, protracted hospital stay and broad-spectrum systemic antimicrobial therapy may encourage serious acquired multidrug resistance (MDR). We report an unfortunate triad following breast reconstruction of PSPG, full-thickness chest wall defect and MDR with Acinetobacter baumannii infection. Interdisciplinary treatment using free flap surgery and negative-pressure wound therapy with instillation therapy (V.A.C.Instill(R) Wound Therapy) enabled survival and complete wound closure. Copyright 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Acinetobacter Infections - etiology Acinetobacter Infections - microbiology Acinetobacter Infections - therapy
- Acinetobacter baumannii - drug effects
- Cross Infection - etiology Cross Infection - therapy
- Debridement - adverse effects
- Drug Resistance, Multiple, Bacterial -
- Female -
- Humans -
- Mammaplasty - adverse effects
- Middle Aged -
- Pyoderma Gangrenosum - etiology Pyoderma Gangrenosum - pathology Pyoderma Gangrenosum - therapy
- Surgical Flaps - adverse effects
- Thoracic Wall -
- Find related publications in this database (Keywords)
- Breast reconstruction
- Post-surgical pyoderma gangrenosum
- Chest wall infection
- MDR
- Acinetobacter baumannii
- VAC Instill (R)