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  • Title: A rare case of Meleney's ulcer after partial chemical matricectomy.
    Author: Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R.
    Journal: Rev Esp Quimioter; 2013 Jun; 26(2):128-31. PubMed ID: 23817651.
    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.
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