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Why Is There Is A Chronic Wound On The Dorsum Of The Foot? A Little Detective Work!
By Jay
Lieberman, DPM A 25-year-old female presented to our clinic with a grade II ulceration along the dorsal lateral aspect of her right foot. The patient was referred to us from a residential developmental center. The wound care nurses at the center treat ongoing wounds meticulously and have implemented creative protocols aimed at preventing wounds from developing. The team at the residential center believed that the wound on this patient developed because of a self-inflicted bite.
Initial culture reports indicated heavy growth of methicillin resistant Vancomycin susceptible staphylococcus aureus. The patient received IV Vancomycin during a two-week inpatient hospitalization to treat the infection. A debridement of the wound was performed in the Operating Room. She was treated with autogenous growth factor. The wound healed completely over the subsequent three to four month period only to recur two months later. The patient |
