Case of the Day: September 2019

Patient History

37-year-old white man struck by a car and resulted in a left transfemoral amputation.

March 19th: Initial Encounter

  • The patient was seen in an outpatient wound clinic for an open wound of the distal posterior stump flap.
  • The wound exhibited increased warmth, induration, erythema, pain, and purulent drainage.
  • The patient underwent a 1) surgical incision and drainage (I&D) of a wound abscess and 2) was empirically started on cephalexin (ABX) for 10 days while a wound culture was performed.
  • The culture ultimately tested positive for bacterial growth.
  • The patient was seen for follow-up 14 days later on April 1st.

To see the rest of the case, click on the image to the left.

We all know visual assessment and wound size are important indicators, but do they always tell the whole story? What if you could combine those with the ability to see beyond the naked eye? Visual assessment and wound measurement should never be replaced, but when combined with long-wave infrared imaging you now have an objective and reproducible method to more accurately detect and monitor wound infections. And being able to accurately determine if a wound is infected can prevent overtreatment and antibiotic drug resistance. (1)

In the case outlined above we give you the history, the photographs, wound size (LxW Area), and long-wave infrared images from two separate Scout imaging encounters. With the added insight of long-wave infrared to provide a physiological view of wound and surrounding tissue, the clinicians were able to objectively validate the need for another round of antibiotics on April 1st after revealing a +5.0 degree Celsius relative temperature increase. And on April 24th, they were able to validate the positive response from the 2nd round of antibiotics after seeing a 72% decrease in relative temperature (+1.4 degrees Celsius).

The WoundVision Scout is the only solution that provides both wound photography and measurement WITH long-wave infrared imaging for objective data on the status of the tissues below skin surface (1).

Visit woundvision.com/demo to learn more.

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