Complications of pressure sores


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Complications of pressure sores


Complications can occur from ongoing pressure sores and also from treating pressure sores.1 Some complications of ongoing pressure sores include:

  • Infections.
    • Cellulitis is an infection of the skin. Cellulitis causes painful, red, hot, swollen skin that may crack, split, or weep fluid.
    • Osteomyelitis is an infection in the bone. It causes swollen and red skin over the affected bone. It also causes pain that is worse when pressing on the infected area.
  • Bacteremia or a bacterial infection in the blood (sepsis).
  • Necrotizing fasciitis or a bacterial infection that destroys skin and soft tissues such as fat and muscle.
  • Endocarditis, which is an infection of the heart lining. Symptoms of endocarditis include vague, flu-like symptoms, such as chronic low-grade fever and fatigue.
  • Meningitis, which is an infection of the fluid that surrounds the brain and spine. Meningitis causes a severe headache with a stiff neck, fever, nausea, and vomiting.
  • Septic arthritis, which is pain and inflammation of a joint caused by a bacterial infection. Septic arthritis causes a joint to be red, hot, swollen, and tender.
  • Abscesses. An abscess can form on the skin or on tissues within the body and cause pain, swelling, and tenderness.
  • Deposits of bone in soft tissues (heterotopic bone formation). These occur especially around the hip joint and can cause pain and problems with walking or moving the legs.
  • Squamous cell skin cancer, especially if the wound becomes a stage 4 pressure sore Click here to see an illustration.. Symptoms of squamous cell cancer include growths or patches of skin that feel scaly, bleed, or develop a crust, and sores that do not heal.

References


Citations

  1. O'Connor K (2005). Pressure ulcers. In JA DeLisa et al., eds., Physical Medicine and Rehabilitation: Principles and Practice, 4th ed., vol. 2, pp. 1605–1618. Philadelphia: Lippincott Williams and Wilkins.

Credits


Author Shannon Erstad, MBA/MPH
Editor Kathleen M. Ariss, MS
Editor Katy E. Magee, MA
Associate Editor Michele Cronen
Associate Editor Pat Truman, MATC
Primary Medical Reviewer Martin Gabica, MD - Family Medicine
Specialist Medical Reviewer Margaret Doucette, DO - Physical Medicine and Rehabilitation, Wound Care, Hyperbaric Medicine
Last Updated March 15, 2007

Healthwise Logo
Last updated: March 15, 2007
Author: Shannon Erstad, MBA/MPH
Reviewed By: Martin Gabica, MD - Family Medicine, Margaret Doucette, DO - Physical Medicine and Rehabilitation, Wound Care, Hyperbaric Medicine
Editors: Katy E. Magee, MA, Pat Truman, MATC

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