Inadvertent self-healing in desperate times

摘要

In February, 2007, a 47-year-old woman was admitted to our hospital, with stage IV pressure ulcers. She had become paraplegic in 1999, after a bullet damaged the spine at the level of the 9th thoracic vertebra. Pressure ulcers developed in 2006 In December, 2006, the patient developed a high fever and was found to have worsening pressure ulcers and meticillin-resistant Stapkylococcus aureus bacteraemia. Her condition improved with intravenous vancomycin and wound debridement. Because she was doubly incontinent, a Foley catheter was inserted, and a colostomy was done to reduce wound contamination. The patient was transferred to a nursing home, but developed intermittent fever, anorexia, and severe left hip pain, After several weeks, she was transferred to our hospital.