{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T21:22:21Z","timestamp":1750022541428},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Postsurgical pyoderma gangrenosum (PSPG) is a rare autoimmune, neutrophilic dermatosis that results with the occurrence of pyoderma gangrenosum (PG) within surgical incisions. Presenting symptoms include erythema and pain at the surgical incision with wound dehiscence. The clinical appearance of the PSPG wound (similar to PG) shows raised with dusky red or violaceous (violet-colored) wound edges and undermining with little or no evidence of granulation tissue. \u201cPathergy\u201d is the term used to describe worsening of the wound in response to trauma such as debridement. Postsurgical pyoderma gangrenosum should be suspected in postoperative wounds, which continue to become progressively worse despite broad-spectrum antibiotics, good wound care, and surgical debridement.<\/jats:p>\n <\/jats:sec>\n \n CASE:<\/jats:title>\n A clinical case study of a patient with PSPG from spine surgery is described.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Postsurgical pyoderma gangrenosum should be suspected in postoperative wounds, which continue to become progressively worse despite broad-spectrum antibiotics, good wound care, and surgical debridement.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/won.0000000000000587","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T05:07:19Z","timestamp":1571980039000},"page":"543-546","source":"Crossref","is-referenced-by-count":5,"title":["Case Study on Management of Postsurgical Pyoderma Gangrenosum After Spinal Surgery"],"prefix":"10.1097","volume":"46","author":[{"given":"Catherine R.","family":"Ratliff","sequence":"first","affiliation":[{"name":"Catherine R. Ratliff, PhD, GNP-BC, CWOCN, CFCN,Division of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"6","key":"R1-20230826","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1007\/s00266-012-9981-3","article-title":"Postsurgical pyoderma gangrenosum complicating reduction mammaplasty","volume":"36","author":"Grillo","year":"2012 Dec","journal-title":"Aesthetic Plast Surg"},{"key":"R2-20230826","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1365-2133.1992.tb14826.x","article-title":"Minimizing the risk of postoperative pyoderma gangrenosum","volume":"127","author":"Long","year":"1992","journal-title":"Br J Dermatol"},{"issue":"4","key":"R3-20230826","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1080\/00015458.2007.11680088","article-title":"Post-surgical pyoderma gangrenosum: a clinical entity","volume":"107","author":"Ouazzani","year":"2007","journal-title":"Acta Chir Belg"},{"issue":"6","key":"R4-20230826","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.medcli.2017.04.013","article-title":"Pyoderma gangrenosum: classic and emerging therapies","volume":"149","author":"Soto Vilches","year":"2017","journal-title":"Med Clin (Barc)"},{"issue":"9","key":"R5-20230826","doi-asserted-by":"crossref","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"},{"issue":"5","key":"R6-20230826","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1097\/SAP.0000000000001070","article-title":"Postsurgical pyoderma gangrenosum versus necrotizing fasciitis: can we spot the difference","volume":"78","author":"Touil","year":"2017","journal-title":"Ann Plast Surg"},{"issue":"3","key":"R7-20230826","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.bjps.2014.12.036","article-title":"A systematic review of post-surgical pyoderma gangrenosum: identification of risk factors and proposed management strategy","volume":"68","author":"Zuo","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"R8-20230826","doi-asserted-by":"crossref","first-page":"h2958","DOI":"10.1136\/bmj.h2958","article-title":"UK Dermatology Clinical Trials Network's STOP GAP Team. Comparison of the two most commonly used treatments for pyoderma gangrenosum: results of the STOP GAP randomised controlled trial","volume":"350","author":"Ormerod","year":"2015","journal-title":"BMJ"},{"issue":"4","key":"R9-20230826","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1136\/gut.2005.074815","article-title":"Infliximab for the treatment of pyoderma gangrenosum: a randomised, double blind, placebo controlled trial","volume":"55","author":"Brooklyn","year":"2006","journal-title":"Gut"},{"issue":"2","key":"R10-20230826","first-page":"290","article-title":"Effectiveness of systemic treatments for pyoderma gangrenosum: a systematic review of observational studies and clinical trials","volume":"179","author":"Partridge","year":"2018","journal-title":"Br J Dermatol"},{"issue":"1","key":"R11-20230826","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1080\/095466301750163518","article-title":"Topical tacrolimus in the management of peristomal pyoderma gangrenosum","volume":"12","author":"Lyon","year":"2001","journal-title":"J Dermatolog Treat"}],"container-title":["Journal of Wound, Ostomy & Continence Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000587","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T07:26:05Z","timestamp":1693034765000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/won.0000000000000587","relation":{},"ISSN":["1071-5754"],"issn-type":[{"value":"1071-5754","type":"print"}],"subject":[],"published":{"date-parts":[[2019,11]]}}}