Patient is a 93 year old female that initially presented with three wounds. The above pictured wound was the most severe of the three wounds. Treatment of this patient began 1/12/22. During the course of treatment, the patient developed three other wounds to her feet. Two were the result of deep tissue injury, and one the result of a skin tear. All six wounds were to the feet.

The wound locations are as follows: Right heel, right dorsal surface, right lateral tuberosity, left lateral heel, left dorsal surface, left lateral tuberosity.

With the development of the three additional wounds and the development of the right dorsal surface wound, a clinical decision to culture the wounds and order arterial dopplers was made. The culture returned positive for MRSA, Enterococcus faecalis, and Bacteroides fragilis. Doppler results indicated atherosclerosis with worsening towards the feet. The course of treatment was adjusted to include antibiotics, less compression, and dual wound care therapies. There is no doubt that hospitalization was prevented for this patient, and possible limb loss as well.