Complicated Skin and Skin Structure Infection After Erysipelas: Urgent Need for Antibiosis and Surgery

We report on a 65-year-old woman with leg ulcer who developed an absceding and necrotizing panniculitis of the affected leg complicating erysipelas. Escherichia coli and Pseudomonas aeruginosa were identified. Debridement and surgical removal of inflamed subcutaneous adipose tissue was decisive to interrupt the process. Wound bed preparation was realized by vacuum-assisted closure. Final wound closure was done by split-skin mesh graft. Complicated skin and skin structure infections need a combined approach of intensified antibiosis and surgery to save life.

Source: The International Journal of Lower Extremity Wounds - March 1, 2016 Category: Surgery Authors: Wollina, U., Langner, D., Heinig, B., Schönlebe, J., Nowak, A. Tags: Case Reports Source Type: research