Evidence map›Paper›PMID 31352396›Full record

ArticleBMJ case reports2019

Challenge of diagnosing pyoderma gangrenosum after caesarean section.

Philipp Foessleitner, Ulrike Just, Herbert Kiss, Alex Farr

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. What is your diagnosis?Journal of the Turkish German Gynecological Association · 2024
    Article
  4. The Histopathology of Leg Ulcers.Dermatopathology (Basel, Switzerland) · 2024
    Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Philipp FoessleitnerDepartment of Obstetrics and Gynecology, Medizinische Universität Wien, Vienna, Austria.
Ulrike JustDepartment of Dermatology, Medizinische Universitat Wien, Vienna, Austria.
Herbert KissDepartment of Obstetrics and Gynecology, Medizinische Universität Wien, Vienna, Austria.
Alex FarrDepartment of Obstetrics and Gynecology, Medizinische Universität Wien, Vienna, Austria.ORCID http://orcid.org/0000-0002-4628-9052
Medical University of Vienna · ATFarr Institute · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pyoderma gangrenosum is a neutrophilic skin disease that leads to extensive, painful, necrotic ulcerations, particularly at surgical sites. As obstetric cases with pyoderma gangrenosum are rare and, therefore, often misdiagnosed initially, it is important to raise awareness about this rare complication. Here, we describe a patient who presented with pyoderma gangrenosum at the surgical site 4 days after undergoing a caesarean section. The erythema was initially misdiagnosed as wound infection, and the patient, who was experiencing pain, underwent antibiotic treatment and surgical wound debridement. When the wound was unresponsive to these treatments, a dermatologist was consulted who suspected pyoderma gangrenosum and began a high-dose corticosteroids therapy, which led to a fulminant improvement of the local wound. In conclusion, the rare diagnosis of pyoderma gangrenosum should be considered in the differential diagnosis of a suspected surgical wound infection. Early interdisciplinary treatment is essential to avoid further complications.

Indexed as

Cesarean SectionAdrenal Cortex HormonesAdultAnti-Bacterial AgentsDebridementDiagnosis, DifferentialDiagnostic ErrorsFemaleHumansPyoderma GangrenosumSurgical Wound InfectionTreatment OutcomeAdrenal Cortex HormonesAnti-Bacterial Agentsdermatologyobstetrics and gynaecologysurgery

Identifiers

PMID31352396
PMCPMC6663234
OpenAlexW2964772763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.