Increasing Drainage From His in Surgery — 46yo Man | General Surgery | SMLE Q#18089
SMLE Question #18089
Surgery
General Surgery
Objective: OBJ-POSTOP-SSI-001
Last updated: February 2026
A 46-year-old man presents 5 days after an open appendectomy with increasing drainage from his incision. He reports mild incisional pain and malodour. Examination shows partial wound edge separation with thick green-tinged purulent discharge; the surrounding skin is mildly erythematous without crepitus, severe pain, or rapidly progressive necrosis. Which organism is most likely responsible?
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