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CASE PROFILE

Diagnosis: Infected Dermal Ulcers Secondary to Periphero-Arterial Occlusive Disease

History:

• Patient first noticed ulcer March 2006
• Previous treatments prior to initiating LILT at Meditech Clinic include:
  
  • daily dressings
  • antibiotics
  • analgesics
  • topical ointments
  • hyperbaric chamber
  • angioplasty
• Patient incapacitated
• Life revolved around treatments
• Pervasive odour from infection

• Dermal ulcers noted almost circumscribing the entire lower tibia, extending from epidermis to periosteum
• Severe infection
• Fragments of dressing incorporated in base of ulcer
• No arterial pulses distal to popliteal which was approximately 1+

Treatment at Meditech Rehabilitation Clinic:

• Removal of dressings
• Discontinuation of all drugs, except analgesics p.r.n.
• Cleansing of wound with dilute H2O2 qid
• Saline compresses during night
• Laser therapy q2d

Most Recent Status:

• Patient totally active
• Wounds left open
• Patient asymptomatic
• Requires no medications
• No odour
• Progressive healing

Prognosis:

• Patient lives over 2 hours away from clinic, therefore a Home System was provided for daily use and will be re-evaluated in 3 weeks
• With progress demonstrated, anticipate complete healing within a month

Figures:

• Fig. I to III – Initial status
• Fig. IV to VI – Intermediate stage
• Fig. VII to IX – Most recent results

Close-up:

• Fig. X to XII – Initial status
• Fig. XIII to XV – Intermediate stage
• Fig. XVI to XIII – Most recent results

Initial	Intermediate	Most Recent

Initial	Intermediate	Most Recent