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(Ulcer and eschar)
145 results
  • Unstageable Pressure Injuries: Identification, Treatment, and Outcomes Among Critical Care Patients. [Review]
    Crit Care Nurs Clin North Am. 2020 Dec; 32(4):543-561.Zaratkiewicz S, Goetcheus M, Vance H
  • Unstageable pressure injuries are widely understood to be full-thickness pressure injuries in which the base is obscured by slough and/or eschar. Correct identification of these pressure injuries can be challenging among health care professionals and, although treatments vary, débridement is key. Although the available research on unstageable pressure injuries is growing, there still is considera…
  • Skin and Mucosal Damage in Patients Diagnosed With COVID-19: A Case Report. [Case Reports]
    J Wound Ostomy Continence Nurs. 2020 Sep/Oct; 47(5):435-438.Singh C, Tay J, Shoqirat N
  • Patients admitted to the intensive care unit (ICU) are at a high risk for developing pressure injuries. A patient requiring multiorgan support is at a higher risk for pressure injuries related to immobility, sedation, vasopressors, and hypoxia. To mitigate pressure injuries, our hospital utilizes a bundle approach to prevent skin injury. However, despite efforts to prevent pressure injuries, we f…
  • StatPearls: Scrub Typhus [BOOK]
    StatPearls. StatPearls Publishing: Treasure Island (FL)SinghO B.OBAll India Institute of Medical Science, RishikeshPandaPrasan K.PKAIIMSBOOK
  • Scrub typhus is an infectious disease caused by the rickettsial bacterium Orientia tsutsugamushi. The causative organism displays high levels of antigenic variation.[1] It is a serious public health problem in the Asia-Pacific region, including but not limited to the region known as the “tsutsugamushi triangle.” One billion people globally covering more than 8 million km from Pakistan in the west…
  • Subeschar culture using a punch instrument in unstageable wounds. [Journal Article]
    Arch Plast Surg. 2020 May; 47(3):228-234.Jung HB, Lee YJ
  • CONCLUSIONS: This procedure could be used to detect potentially pathogenic bacteria hidden under black or yellow eschars. Since subeschar infections are often accompanied by multidrug-resistant bacteria, the early detection of hidden infections and the use of appropriate antibiotics are expected to be helpful to patients.
  • A cutaneous Anthrax outbreak in Koraput District of Odisha-India 2015. [Journal Article]
    BMC Public Health. 2019 May 10; 19(Suppl 3):470.Nayak P, Sodha SV, … Dash KC
  • CONCLUSIONS: Our investigation revealed significant associations between eating and handling of ill animals and presence of anthrax-like organisms in lesions. We immediately initiated livestock vaccination in the area, educated the community on safe handling practices and recommended continued regular anthrax animal vaccinations to prevent future outbreaks.
  • Heel Pressure Injuries: Consensus-Based Recommendations for Assessment and Management. [Review]
    Adv Wound Care (New Rochelle). 2020 06; 9(6):332-347.Rivolo M, Dionisi S, … Pomponio G
  • Significance: A systematic approach to develop experts-based recommendations could have a favorable impact on clinical problems characterized by scarce and low-quality evidence as heel pressure ulcers. Recent Advances: A systematic approach was used to conduce a formal consensus initiative. A multidisciplinary panel of experts identified relevant clinical questions, performed a systematic search …
  • Probable African Tick Bite Fever in the United States. [Case Reports]
    Yale J Biol Med. 2020 03; 93(1):49-54.Lowery K, Rosen T
  • African tick bite fever (ATBF) is a tick-borne rickettsial disease most often observed in North American and European tourists returning home from the southern portion of Africa. Ticks infected with Rickettsia africae transmit this parasitic bacterium to humans, who subsequently develop an influenza-like illness, one or more inoculation eschars, and in some cases, a cutaneous rash. Because ATBF o…
  • Efficacy and tolerability of intralesional bleomycin in dermatology: A systematic review. [Journal Article]
    J Am Acad Dermatol. 2020 Sep; 83(3):888-903.Bik L, Sangers T, … van Doorn M
  • Bleomycin is widely used as an off-label treatment for various dermatologic indications. However, a much-needed critical appraisal of the currently available evidence is lacking. We therefore evaluated the quality of clinical evidence for the efficacy and safety of intralesional bleomycin treatment for dermatologic indications with the aim to provide evidence-based recommendations for clinical pr…
  • Suspected cutaneous anthrax in rural areas. [Journal Article]
    J Infect Dev Ctries. 2019 02 28; 13(2):118-122.Kibar Ozturk M
  • CONCLUSIONS: In rural areas that lack medical facilities with diagnostic tools, in the presence of black eschar, rapid diagnosis and treatment of CA is essential. The administration of a broad-spectrum antibiotic is recommended as the first line treatment of suspected CA.
  • StatPearls: Decubitus Ulcer [BOOK]
    StatPearls. StatPearls Publishing: Treasure Island (FL)ZaidiSyed Rafay H.SRHIsra University, Al NafeesSharmaSandeepSMery Fitzgerald HospitalBOOK
  • Decubitus ulcers, also termed bedsores or pressure ulcers, are skin and soft tissue injuries that form as a result of constant or prolonged pressure exerted on the skin. These ulcers occur at bony areas of the body such as the ischium, greater trochanter, sacrum, heel, malleolus (lateral than medial), and occiput. These lesions mostly occur in people with conditions that decrease their mobility m…
  • Omental flap for treatment of spondylodiscitis with lumbosacral dehiscence: A case report. [Case Reports]
    Ann Chir Plast Esthet. 2020 Jun; 65(3):263-268.Hanan L, Lonjon G, … Lantieri L
  • We report a case of pedicled omental flap use together with osteosynthesis treatment of a chronic L4-L5 spondylodiscitis due to a large sacral eschar. The 43-years-old patient was paraplegic and had depleted regional flaps solutions due to multiple previous surgeries. The procedure was carried out in supine position then in prone position whereby the dissected flap was recovered through the spine…
  • Scrub typhus (Tsutsugamushi disease) in a patient presenting with hemophagocytic syndrome. [Journal Article]
    Immunol Med. 2018 Jun; 41(2):82-84.Akagi T, Mukai T, … Morita Y
  • Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi, which is found mainly in East and Southeast Asia and in Australia. The disease presents with a variety of non-specific symptoms, including fever, headache, cough, myalgia, and rash. Delay in starting appropriate antimicrobial therapy may lead to serious complications and even death. We report the case of an 84-year-…
  • The use of Nexobridtm in debriding chronic ulcers: a preliminary observational study. [Journal Article]
    Ann Burns Fire Disasters. 2018 Jun 30; 31(2):109-112.Mataro I, Giudice G, … Vestita M
  • Nexobrid is a highly selective enzymatic debriding agent used in the acute management of burns to perform escharectomy. From October 2016 to April 2017, we treated 6 patients affected with lower limb chronic ulcers of different etiologies with Nexobrid in order to perform eschar removal by enzymatic debridement. For all patients, a dosage of Nexobrid, calculated as 2gr per 1% TBSA, was applied in…
  • Lower Limb Nonhealing Ulcers Associated With Chronic Diabetes: A Case Series. [Case Reports]
    Wounds. 2019 Jan; 31(1):7-14.Wang G, Wang Y, … Xu X
  • CONCLUSIONS: These therapeutic approaches alleviated local inflammatory damage and adverse systemic reactions, which is an important basis for further treatment (eg, anti-infection treatment, blood glucose reduction, blood pressure control, organ function improvement, circulation promotion, and nutritional support).
  • Classification of pressure ulcer tissues with 3D convolutional neural network. [Journal Article]
    Med Biol Eng Comput. 2018 Dec; 56(12):2245-2258.García-Zapirain B, Elmogy M, … Elmaghraby AS
  • A 3D convolution neural network (CNN) of deep learning architecture is supplied with essential visual features to accurately classify and segment granulation, necrotic eschar, and slough tissues in pressure ulcer color images. After finding a region of interest (ROI), the features are extracted from both the original and convolved with a pre-selected Gaussian kernel 3D HSI images, combined with f…
  • Two Distinct Clinical Courses of Human Cowpox, Germany, 2015. [Case Reports]
    Viruses. 2017 12 07; 9(12)Eder I, Vollmar P, … Meyer H
  • Here we present two cases of human infection with cowpox virus with distinct clinical courses. A series of clinical photographs documents lesion progression over time. In the first case-an unvaccinated young veterinary assistant-a pustule was treated locally with cortisone. The lesion turned into a large ulcer accompanied by severe lymphadenitis. Based on her close contact to a sick stray cat, in…
  • Scrub Typhus: An Emerging Threat. [Journal Article]
    Indian J Dermatol. 2017 Sep-Oct; 62(5):478-485.Chakraborty S, Sarma N
  • Scrub typhus is caused by Orientia tsutsugamushi (formerly Rickettsia) and is transmitted to humans by an arthropod vector of the Trombiculidae family (Leptotrombidium deliense and L. akamushi). It is the most common re-emerging Rickettsial infection in India and many other South East Asian countries. In fact, scrub typhus is confined geographically to the Asia Pacific region, a billion people ar…
  • Incidence of venous leg ulcer healing and recurrence after treatment with endovenous laser ablation. [Journal Article]
    J Vasc Surg Venous Lymphat Disord. 2017 07; 5(4):525-532.Marston WA, Crowner J, … Kalbaugh CA
  • CONCLUSIONS: Ulcers recurred in a minority of CEAP clinical C5 and C6 patients after EVTA of the saphenous veins. Ulcer recurrence was less frequent in patients without concomitant deep venous reflux and in those treated with phlebectomy of varicose veins at the time of EVTA. We suggest consideration of phlebectomy at the time of EVTA for patients with C5 and C6 venous insufficiency, particularly in those with isolated superficial venous insufficiency.
  • Dialysis Access Hemorrhage: Access Rescue from a Surgical Emergency. [Journal Article]
    Ann Vasc Surg. 2017 Jul; 42:45-49.Inui T, Boulom V, … Barleben A
  • CONCLUSIONS: Salvage of a functional dialysis access is possible in the majority of patients presenting with conduit hemorrhage. Loss of wall integrity, infection, and venous hypertension were etiologic factors. Application of in situ graft replacement strategies known to be effective in the treatment of graft infection should be considered in the management of this surgical emergency.
  • A single black ulcer in a child with acute lymphocytic leukemia. [Case Reports]
    An Bras Dermatol. 2016 Nov-Dec; 91(6):815-816.Vestita M, Filoni A, … Bonamonte D
  • Ecthyma gangrenosum is an uncommon dermatological manifestation characterized by round, indurated ulcers with a central necrotic black eschar and surrounding erythema. This report describes the case of a 5-year-old girl, affected by acute lymphocytic leukemia, presenting with a black eschar on her right thigh. Such lesions should always be correctly identified to avoid potentially fatal bacteraem…
  • Wound bed preparation: A novel approach using HydroTherapy. [Case Reports]
    Br J Community Nurs. 2016 Dec; 21(Sup12):S23-S28.Atkin L, Ousey K
  • Wounds that fail to heal quickly are often encountered by community nursing staff. An important step in assisting these chronic or stalled wounds progress through healing is debridement to remove devitalised tissue, including slough and eschar, that can prevent the wound from healing. A unique wound treatment called HydroTherapy aims to provide an optimal healing environment. The first step of Hy…
  • Metastatic Serratia endophthalmitis associated with extravasation injury in a preterm neonate. [Case Reports]
    Oman J Ophthalmol. 2015 May-Aug; 8(2):114-6.Sindal MD, Nakhwa CP
  • The authors report a case of a preterm neonate who presented with lid edema, corneal edema, and an inflammatory membrane with whitish exudates in the pupillary area, suggestive of endophthalmitis. There was also a cutaneous ulcer with an eschar on the right wrist at the site of extravasation associated with previous intravenous catheter. Cultures from the ulcer and vitreous samples both grew Serr…
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