The melting graft syndrome describes the deterioration of a skin graft in a burn patient.
Synonyms: ghosting graft syndrome, burn wound impetigo
Clinical features:
(1) previously well-taken skin graft or healed burn
(2) progressive, patchy epithelial loss at the site, giving a moth-eaten appearance
Pathogenesis: Staphylococcus aureus, often MRSA
The outcome is worse if diagnosis and/or therapy is delayed.
Management often involves antibiotic therapy, topical steroids and wound care.
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Specialty: Emergency Medicine