J Wound Manag Res.
2020 Oct;16(3):202-206. 10.22467/jwmr.2020.01284.
A Case of Myelodysplastic Syndrome with Clinical Manifestations of Recurrent Cellulitis
- Affiliations
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- 1Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea
- 2Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea
- 3Department of Pathology, Hanyang University College of Medicine, Seoul, Korea
- KMID: 2511201
- DOI: http://doi.org/10.22467/jwmr.2020.01284
Abstract
- An 84-year-old male patient with recurrent cellulitis in the left submandibular area visited the outpatient clinic. He underwent debridement of the wound with administration of intravenous antibiotics. The defect was reconstructed using a split-thickness skin graft. After 2 months, the cellulitis recurred adjacent to the prior lesion in the submandibular area. The wound improved with intravenous antibiotics and conservative treatment. During the second hospitalization, the patient was evaluated for abnormal complete blood count, and was finally diagnosed with myelodysplastic syndromes. Recurrent cellulitis in this patient was not accompanied with any other symptoms; instead of being a simple uncontrolled infection it had a systemic origin. Physicians should consider the possibility of systemic causes for recurrent cellulitis, such as myelodysplastic syndromes, especially if laboratory results suggest pancytopenia.
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