{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:30:14Z","timestamp":1786559414016,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis that may occur after surgery and mimic wound infection. We report the case of a 30-year-old woman who developed painful progressive ulceration 7 days after caesarean section. Initial treatment with broad-spectrum antibiotics for presumed surgical site infection was ineffective. Clinical examination showed a large hypogastric ulcer with an erythematous base and undermined inflammatory borders. Histopathological examination of a biopsy taken from the ulcer edge demonstrated a dense dermal neutrophilic infiltrate, supporting the diagnosis of PG. Oral prednisolone at 1\u00a0mg\/kg\/day was started, with progressive improvement and complete re-epithelialization after 4 months. This case highlights the importance of considering PG in postoperative wounds that worsen despite adequate antimicrobial treatment, in order to avoid unnecessary surgical procedures and initiate timely immunosuppressive therapy.<\/jats:p>","DOI":"10.1093\/jscr\/rjag696","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:51:15Z","timestamp":1784807475000},"source":"Crossref","is-referenced-by-count":0,"title":["Post-caesarean pyoderma gangrenosum mimicking surgical site infection: a diagnostic pitfall in the postpartum period"],"prefix":"10.1093","volume":"2026","author":[{"given":"Younes","family":"Tamim","sequence":"first","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut ,","place":["PO Box 6527, Rabat 10150, Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yassine","family":"Berrada","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Islam","family":"Mejdoubi","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Balkoula","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmae","family":"Benzekri","sequence":"additional","affiliation":[{"name":"Department of Pathology, Nations-Unies Pathology Center , 1, corner of Avenue des Nations Unies and Rue Ibn Hanbal, Agdal, Rabat 10080 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syrine","family":"Hamada","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariame","family":"Meziane","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Ismaili","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laila","family":"Benzekri","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karima","family":"Senouci","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Ibn Sina University Hospital Center, Mohammed V University in Rabat, Rue Lamfadel Cherkaoui, Rabat-Institut , PO Box 6527, Rabat 10150 ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"2026081213563506100_ref1","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1136\/bmj.333.7560.181","article-title":"Diagnosis and treatment of pyoderma gangrenosum","volume":"333","author":"Brooklyn","year":"2006","journal-title":"BMJ"},{"key":"2026081213563506100_ref2","doi-asserted-by":"publisher","first-page":"224","DOI":"10.7861\/clinmedicine.19-3-224","article-title":"Pyoderma gangrenosum\u2014a guide to diagnosis and management","volume":"19","author":"George","year":"2019","journal-title":"Clin Med (Lond)"},{"key":"2026081213563506100_ref3","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1016\/j.mayocp.2016.05.001","article-title":"Postoperative pyoderma gangrenosum: a clinical review of published cases","volume":"91","author":"Tolkachjov","year":"2016","journal-title":"Mayo Clin Proc"},{"key":"2026081213563506100_ref4","doi-asserted-by":"publisher","first-page":"115","DOI":"10.3109\/01443619309151798","article-title":"Pyoderma gangrenosum complicating caesarean section","volume":"13","author":"Harland","year":"1993","journal-title":"J Obstet Gynaecol"},{"key":"2026081213563506100_ref5","doi-asserted-by":"publisher","first-page":"e15380","DOI":"10.1097\/MD.0000000000015380","article-title":"Pyoderma gangrenosum after cesarean section treated with skin graft: a case report","volume":"98","author":"Shen","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"2026081213563506100_ref6","doi-asserted-by":"publisher","first-page":"2289546","DOI":"10.1080\/01443615.2023.2289546","article-title":"Successful management of pyoderma gangrenosum after caesarean section: a case report","volume":"44","author":"Yang","year":"2024","journal-title":"J Obstet Gynaecol"},{"key":"2026081213563506100_ref7","doi-asserted-by":"publisher","first-page":"e267447","DOI":"10.1136\/bcr-2025-267447","article-title":"Postoperative pyoderma gangrenosum following caesarean section in the postpartum period","volume":"18","author":"Vetsiou","year":"2025","journal-title":"BMJ Case Rep"},{"key":"2026081213563506100_ref8","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/j.annder.2017.11.006","article-title":"Pyoderma gangrenosum r\u00e9cidivant du post-partum et cardiomyopathie fatale","volume":"145","author":"Naciri","year":"2018","journal-title":"Ann Dermatol Venereol"},{"key":"2026081213563506100_ref9","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1001\/jamadermatol.2017.5980","article-title":"Diagnostic criteria of ulcerative pyoderma gangrenosum: a Delphi consensus of international experts","volume":"154","author":"Maverakis","year":"2018","journal-title":"JAMA Dermatol"},{"key":"2026081213563506100_ref10","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1136\/gut.2005.074815","article-title":"Infliximab for the treatment of pyoderma gangrenosum","volume":"55","author":"Brooklyn","year":"2006","journal-title":"Gut"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag696\/70620423\/rjag696.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/8\/rjag696\/70620423\/rjag696.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:56:42Z","timestamp":1786557402000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag696\/8759819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag696","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"rjag696"}}