Active substances: Doxycycline
K was referred to a rheumatologist who requested testing for possible TB: Mr. K had a remote history of traveling to Latin America during his childhood to countries with a known elevated prevalence of the disease.
Chest x-rays were found to be negative, as were HIV, rheumatoid factor, and antinuclear antibody screening tests. K required long-term anticoagulation with warfarin 5 mg oral tablet with a therapeutic goal to reduce the risk of future deep vein thromboses because his INR range was 2.
He continued weekly visits to his PCP for pain management and for active treatment of concomitant cellulitis to the same area as the wounds.
The introduction of Mtb medication increased INR levels to 6. Biweekly wound care visits were completed in a negative pressure room; the lesions produced minimal to moderate drainage, increasing the possibility of aerosolization during wound cleansing and debridement.
K were cleaned with bleach 0. Initially, Mr. K reported increased pain when the ulcers were drained; tactile examination had to be terminated because manipulation of the ulcer borders using cotton-tipped applicators also increased his pain level.
On subsequent PT wound care visits, Mr. In addition to lesions on the entire leg distal to his knee, a Stage 2 pressure injury was identified under the first metatarsal head of his right foot.
During the second week of wound care treatment, Mr. Patient managed with off loading, Silvaklenz and Silvion, control of BS and nutritional management. Patient had been managed by a wound specialist that used multiple debridements and systemic antibiotics without resolution.
The ulcer decreased in size from its original measurement of 2.
Patient managed with Silvaklenz and Silvion, off loading and adequate nutrition.
The chronic unresponsive radiation necrosis located on the neck was present for approximately 1 month. Patient managed and responded to care with Silvaklenz and Silvion.
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