case_images: PMC2825516_01
case_images: Chronological change of pressure ulcer. (A) Day 0. The patient had a 16.5 cm x 15.5 cm, grade IV pressure ulcer in the sacral region. (B) Day 22. Debridement was conducted. (C) Day 66. The pressure ulcer had shrunk along with an improvement in the patient's state of nutrition. (D) Day 93. The size of the pressure ulcer was 8.0 cm x 5.0 cm.
case_images: 1752-1947-4-24-1.jpg
case_images: PMC2825516_01_1752-1947-4-24-1.jpg
case_images: F1
case_images: On admission to our hospital, he had a 16.5 cm x 15.5 cm, grade IV pressure ulcer in the sacral region, from which Escherichia coli and methicillin-resistant Staphylococcus were detected (Figure 1, panel A). His pressure ulcer was then 8.0 cm x 5.0 cm (Figure 1, panel D).
case_images: Chronological change of hemoglobin concentration (square), serum albumin concentration (circle) and C-reactive protein titer (triangle). Anti-tuberculosis drugs were started on the first day of admission (arrow a). Liquid nutrition was increased to 1,200 kcal/day on the 14th day of admission (arrow b). Semi-solid nutrition of 1,200 kcal/day was started on the 21st day of admission (arrow c). Debridement of the sacral pressure ulcer was conducted on the 22nd day of admission (arrow d).
case_images: 1752-1947-4-24-2.jpg
case_images: PMC2825516_01_1752-1947-4-24-2.jpg
case_images: F2
case_images: His albumin count was 2.2 g/dL, hemoglobin was 11.1 g/dL, C-reactive protein was 12.0 mg/dL (Figure 2) and his body temperature was 38 C. Four weeks later, an improvement was observed in his albumin, hemoglobin, and C-reactive protein levels (Figure 2).