Very bad management in a pressure sore | Figure 1
cesarortiz1911
Medical Student
Very bad management in a pressure sore
A 31-year-old patient with a five-week history of motorcycle accident. After the traumatic event, lumbar vertebral reconstruction surgery is performed, the patient loses complete mobility and sensibility in lower limbs without any other complication. The patient remains in bed and suffers a pressure sore due to precarious conditions at home. A general practitioner comes to the patient's care and refers that "this wound heals by itself" and does not indicate any type of therapeutic approach due to this the wound worsens, during the fourth week the doctor comes again and upon finding findings of necrosis (image #1) and fever, decides to start empirical antimicrobial treatment using oral levofloxacin. At the fifth week I go on my own to check the patient, he is found with stable vital signs, good coloration of the integuments, sweaty skin, fever and reports concern for the condition of the wound, upon seeing the wound (image #2) I immediately refer him to a second level hospital for advanced wound management. What do you think?
Diagnosis added by author
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Pressure sore