1. [Can decubitus ulcer be fatal? - case report]
- Author
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DANIJELA TOMIĆ and STANISLAVA LAGINJA
- Subjects
Male ,Pressure Ulcer ,Radiography ,Fatal Outcome ,Hip ,decubitus ulcer ,risk factors ,debridement ,Humans ,dekubitalni ulkus ,čimbenici rizika ,debridement strojevima za pranje ,Bacterial Infections ,Shock, Septic ,Aged - Abstract
Prikazan je bolesnik u dobi od 69 godina, beskućnik, alkoholičar, hospitaliziran zbog opće slabosti i malaksalosti, koji je na lijevom boku imao dekubitalni vrijed veličine 5x5 cm. kod dolaska u bolnicu izraženi su mnogi parametri upale. Indicirani su antibiotici i opsežna nekrektomija promijenjene kože, koju je trebalo nekoliko puta ponavljati. Iz obriska se iz kirurške rane izolira Acinetobacter species i enterococcus faecium. unatoč intenzivnim suportivnim mjerama, dermatološkoj terapiji i kirurškoj obradi, bolesnik je fudroajantno razvio ogromno područje nekroze u području desnog kuka i paravertebralno te nakon mjesec dana preminuo pod kliničkom slikom sepse., A patient aged 69, homeless, alcoholic, hospitalized because of general weakness and disability, with decubitus ulcer in the area of left hip, measuring 5x5 cm, is presented. On admission, numerous parameters of inflammation were observed. Antibiotics and repeated extended skin necrectomy were indicated. Acinetobacter spp. And Enterococcus faecium were isolated in the swab obtained from surgical wound. In spite of extensive supportive measures, dermatologic therapy and surgery, the patient rapidly developed widespread necrosis in the left hip area and paravertebrally, and he passed away in the clinical picture of sepsis.
- Published
- 2013