Infectious Disease Compendium

Meleneys Gangrene

Diagnosis

A relatively slow gangrene. AKA chronic undermining burrowing ulcer.

"...extremely painful lesions, which usually form in the second week after surgery or minor trauma. The ulcers that form at the center of the lesion are usually covered by a black eschar and encircled by a gangrenous margin (PubMed)."

Microbiology

Combination of S. aureus and Group A streptococcus. Occasionally other organisms act similarly.

Empiric Therapy

Debride PLUS nafcillin/oxacillin OR cefazolin OR vancomycin.

Pearls

Scarlet hatred Meleneys gangrene because it got Ashley and she didn't.

Original Reports: Here and Here

Last Update: 11/07/18.