This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (18)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Report of a Case Controlled by Cortisone

EDWIN T. WRIGHT, M.D.; DONALD J. GRECO, M.D.

AMA Arch Derm. 1956;74(5):543-546.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Chronic undermining burrowing ulcers which spread peripherally and are characteristically resistant to treatment have been described under several titles, such as, pyoderma gangrenosum,¹ hemolytic streptococcus gangrene,² progressive bacterial synergistic gangrene,³ and necrotizing fasciitis.⁴ These ulcers have developed following surgical wounds, abrasions, contusions, lacerations, insect bites, and gunshot wounds.⁴ They have also been observed to occur in association with ulcerative colitis.¹

The combination of a microaerophilic nonhemolytic Streptococcus with a hemolytic Staphylococcus aureus was first demonstrated to be the etiological agents by Brewer and Meleney.⁵ Several other organisms have also been found in these ulcers. Meleney, Friedman, and Harvey³ demonstrated the presence of a penicillinase-producing Pseudomonas aeruginosa and Escherichia coli on one occasion. Lyall and Stuart⁶ isolated a microaerophilic Streptococcus with a Proteus vulgaris in one case. Other investigators^* have also . . . [Full Text PDF of this Article]

Author Affiliations
Los Angeles

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?