<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2022000400014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lesiones cutáneas por síndrome de disfunción multiorgánica: caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Skin injuries associated with multiple organ dysfunction syndrome: clinical case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Meana]]></surname>
<given-names><![CDATA[Javier Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cámara-Marín]]></surname>
<given-names><![CDATA[Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya-Ortega]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Santa Lucía  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Universitario Santa María del Rosell  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Universitario de Toledo  ]]></institution>
<addr-line><![CDATA[Toledo ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>283</fpage>
<lpage>285</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2022000400014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2022000400014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2022000400014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso de una mujer de 95 años, derivada a urgencias por presentar de forma súbita lesiones necróticas parcheadas en cuero cabelludo, que tras realización de analítica y pruebas complementarias se identifica como un cuadro de sepsis de origen multifactorial. Posteriormente, se realiza preparación del lecho de las heridas con desbridamiento cortante con bisturí, aplicando posteriormente colagenasa e hidrogel para continuar con desbridamiento enzimático y autolítico. La paciente fallece a las 4 h tras realizar el desbridamiento. Dado el cuadro de sepsis de origen multifactorial, muy probablemente se trate de lesiones cutáneas por compromiso vital grave, y dentro de ellas de lesiones cutáneas por síndrome de disfunción multiorgánica, que se puede confundir con lesiones por presión, pero dada la localización de las lesiones y el cuadro de sepsis de origen multifactorial, se descarta esta etiología. Los pacientes que sufren este tipo de lesiones tienen una condición clínica irreversible.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesiones cutáneas]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[fin de vida]]></kwd>
<kwd lng="en"><![CDATA[Skin injuries]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[end of life]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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</article>
