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Rev Esp Quimioter. 2013 Jun;26(2):128-31.

A rare case of Meleney's ulcer after partial chemical matricectomy.

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1
Facultad Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain. marta.losa@urjc.es

Abstract

BACKGROUND:

Meleney's ulcer is a rare, but potentially deadly infection that often occurs in post-surgical sites. This type of ulcer has not previously been reported in the toenail after phenol matricectomy.

PATIENT CASE:

A female patient underwent partial phenolization of the medial nail matrix of the hallux, but after 2 months had a recurrent spicula that caused Meleney's ulcers.

RESULTS:

The ulcers remained after treatment with antibiotics, and further surgery was required to fully clear the infection.

CONCLUSION:

This case and review of Meleney's ulcer highlights the deceptively benign initial presentation of necrotizing fasciitis at the hallux after partial chemical matricectomy surgery using a phenol-based approach.

PMID:
23817651
[Indexed for MEDLINE]
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