Pressure ulcers and Charcot's definitions: report on two cases
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400005 |
Resumo: | CONTEXT AND OBJECTIVE: Pressure ulcers are lesions caused by inadequate blood flow and tissue malnourishment secondary to prolonged pressure on skin, soft connective tissues, muscle and/or bones. The authors report two distinct clinical situations of severely compromised neurological patients who shared several predisposing factors for pressure ulcers, but with opposite outcomes regarding the development of pressure ulcers. CASE REPORTS: The first case was a young patient in a persistent vegetative state who developed pressure ulcers that resulted in secondary sepsis and death. The second case was a patient with a diagnosis of amyotrophic lateral sclerosis who, in spite of being bedridden for several months with severe immobility, never developed pressure ulcers. These intriguing contrary clinical situations had already been defined by Charcot in the nineteenth century, with his creation of the expression "decubitus ominosus". He indicated that patients with amyotrophic lateral sclerosis usually did not develop this form of complication, as was illustrated by the cases presented here. |
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Pressure ulcers and Charcot's definitions: report on two casesPressure ulcerOutcome and process assessment/Health CarePersistent vegetative stateAmyotrophic lateral sclerosisCONTEXT AND OBJECTIVE: Pressure ulcers are lesions caused by inadequate blood flow and tissue malnourishment secondary to prolonged pressure on skin, soft connective tissues, muscle and/or bones. The authors report two distinct clinical situations of severely compromised neurological patients who shared several predisposing factors for pressure ulcers, but with opposite outcomes regarding the development of pressure ulcers. CASE REPORTS: The first case was a young patient in a persistent vegetative state who developed pressure ulcers that resulted in secondary sepsis and death. The second case was a patient with a diagnosis of amyotrophic lateral sclerosis who, in spite of being bedridden for several months with severe immobility, never developed pressure ulcers. These intriguing contrary clinical situations had already been defined by Charcot in the nineteenth century, with his creation of the expression "decubitus ominosus". He indicated that patients with amyotrophic lateral sclerosis usually did not develop this form of complication, as was illustrated by the cases presented here.Associação Paulista de Medicina - APM2008-07-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400005Sao Paulo Medical Journal v.126 n.4 2008reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802008000400005info:eu-repo/semantics/openAccessTeive,Hélio Afonso GhizoniCampos,Ricardo William Genaro Rodrigues deMunhoz,Renato PuppiWerneck,Lineu Césareng2008-10-02T00:00:00Zoai:scielo:S1516-31802008000400005Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-10-02T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Pressure ulcers and Charcot's definitions: report on two cases |
title |
Pressure ulcers and Charcot's definitions: report on two cases |
spellingShingle |
Pressure ulcers and Charcot's definitions: report on two cases Teive,Hélio Afonso Ghizoni Pressure ulcer Outcome and process assessment/Health Care Persistent vegetative state Amyotrophic lateral sclerosis |
title_short |
Pressure ulcers and Charcot's definitions: report on two cases |
title_full |
Pressure ulcers and Charcot's definitions: report on two cases |
title_fullStr |
Pressure ulcers and Charcot's definitions: report on two cases |
title_full_unstemmed |
Pressure ulcers and Charcot's definitions: report on two cases |
title_sort |
Pressure ulcers and Charcot's definitions: report on two cases |
author |
Teive,Hélio Afonso Ghizoni |
author_facet |
Teive,Hélio Afonso Ghizoni Campos,Ricardo William Genaro Rodrigues de Munhoz,Renato Puppi Werneck,Lineu César |
author_role |
author |
author2 |
Campos,Ricardo William Genaro Rodrigues de Munhoz,Renato Puppi Werneck,Lineu César |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Teive,Hélio Afonso Ghizoni Campos,Ricardo William Genaro Rodrigues de Munhoz,Renato Puppi Werneck,Lineu César |
dc.subject.por.fl_str_mv |
Pressure ulcer Outcome and process assessment/Health Care Persistent vegetative state Amyotrophic lateral sclerosis |
topic |
Pressure ulcer Outcome and process assessment/Health Care Persistent vegetative state Amyotrophic lateral sclerosis |
description |
CONTEXT AND OBJECTIVE: Pressure ulcers are lesions caused by inadequate blood flow and tissue malnourishment secondary to prolonged pressure on skin, soft connective tissues, muscle and/or bones. The authors report two distinct clinical situations of severely compromised neurological patients who shared several predisposing factors for pressure ulcers, but with opposite outcomes regarding the development of pressure ulcers. CASE REPORTS: The first case was a young patient in a persistent vegetative state who developed pressure ulcers that resulted in secondary sepsis and death. The second case was a patient with a diagnosis of amyotrophic lateral sclerosis who, in spite of being bedridden for several months with severe immobility, never developed pressure ulcers. These intriguing contrary clinical situations had already been defined by Charcot in the nineteenth century, with his creation of the expression "decubitus ominosus". He indicated that patients with amyotrophic lateral sclerosis usually did not develop this form of complication, as was illustrated by the cases presented here. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-07-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400005 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000400005 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31802008000400005 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.126 n.4 2008 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209262159003648 |