We report the case of a fifty-one-year-old woman who underwent an uneventful cubital tunnel release and was admitted five days after surgery with a diagnosis of infection. Despite multiple surgical debridements and prolonged intravenous antibiotic treatment, the wound edges continued to slough and necrose. A delayed diagnosis of postsurgical pyoderma gangrenosum (PG) was made, and corticosteroid and immunosuppressive treatment was administered, with immediate clinical improvement.
When apparent postoperative infections fail to improve with debridement and antimicrobial treatment, and when accompanied by a fever and severe local pain, nonspecific histopathological findings, and negative microbiological cultures, postsurgical PG should be considered.
1Orthopaedics and Traumatology Department, Guadalajara University Hospital, C/Donante de Sangre s/n, 19002 Guadalajara, Spain. E-mail address for A. Utrillas-Compaired: firstname.lastname@example.org
2Orthopaedics and Traumatology Department, James Cook University Hospital, Marton Road, Middlesbrough TS43BW, United Kingdom