Left dorsal foot wound. Started as small non raised red areas and petechia. Progressed to bruised area minus open area when she went to ER. Three doctors saw it and could not identify cause or toe of wound. Wound open up in center since being in ER. She is current home care patient with other non healing wounds on right leg. (They don't look anything like this). Right leg recently positive for pseudomonas and staph. Receiving antibiotic treatment for that during dialysis. Minimal drainage. Current treatment is #Mupirocin cream and dry gauze. Any ideas on what caused this?

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Considr ' icthyma gangrenosum- a psudomonas infection.others also like proteus, staph epidrmoides can be invoved. Since single nonbacterimic variety. Treat with culture sensitive antibiotic followed if necessary by surgical consultation.

Considr ' icthyma gangrenosum- a psudomonas infection.others also like proteus, staph epidrmoides can be invoved. Since single nonbacterimic variety. Treat with culture sensitive antibiotic followed if necessary by surgical consultation.

I think this is the case of PURPURA FULMINANS start with echymosis and vesicles leading to necrosis May be due to staph strepto meningo In immunocompromized patients may follow acute febrile illness which causes acquired protein S deficiency

Herpes zoster lesion

pyoderma gangrenosum.

Herpes zoster lesion

Ecthyma gangrenosum

grouped vesicles should be herpes

It looks like calciphylaxis. Biopsy to confirm.

culture the ulcer

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