Abstract

GARCIA-MEANA, Javier Federico; CAMARA-MARIN, Belén  and  MONTOYA-ORTEGA, Adrián. Skin injuries associated with multiple organ dysfunction syndrome: clinical case. Gerokomos [online]. 2022, vol.33, n.4, pp.283-285.  Epub July 24, 2023. ISSN 1134-928X.

A 95-year-old woman, brought to emergency department who suddenly present patchy necrotic skin injuries on the scalp, after performing laboratory tests and complementary tests, is associated with sepsis of multifactorial origin. Subsequently, the wound bed was prepared with sharp debridement with a scalpel, applying collagenase and hydrogel to continue with enzymatic and autolytic debridement. The patient died 4 h after debridement. Given the picture of sepsis of multifactorial origin, it is very likely to be skin injuries associated with serious lifethreatening situations, and within them skin injuries associated with multiple organ dysfunction syndrome, which could be confused with pressure skin injuries, but given the location of skin injuries and sepsis of multifactorial origin, this etiology is ruled out. Patients who suffer this type of skin injuries have an irreversible clinical condition.

Keywords : Skin injuries; sepsis; end of life.

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