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Abstract
Pyoderma gangrenosum is a rapidly progressing rare systemic disease that is characterized by idiopathic chronic skin changes and can be seen with systemic diseases. In rapidly progressive lesions following surgery, it is vital to differentiate pyoderma gangrenosum from necrotizing soft tissue infections in which the primary treatment is debridement. In this report, we present a case of pyoderma gangrenosum with pulmonary involvement whose medical condition worsened after serial debridements were performed because of a misdiagnosis of necrotizing fasciitis.