Integrated treatment of the severely injured patient with coexistent comorbidities. A case report and literature review

Integrated treatment of the severely injured patient with coexistent comorbidities. A case report and literature review

Authors

  • Alessio Pedrazzini Orthopaedic Clinics, Academic Hospital of Parma, Parma, Italy
  • Alessandra Martelli Department of Anesthesia and Intensive Care Unit, Academic Hospital of Parma, Parma, Italy
  • Maria Grazia Magotti Division of Diabetology and Internal Medicine, Academic Hospital of Parma, Parma, Italy
  • Anna Maria Degli Antoni Division of Infectious Diseases, Academic Hospital of Parma, Parma, Italy
  • Gianfranco Cervellin Emergency Department, Academic Hospital of Parma, Parma, Italy

Keywords:

major trauma, diabetes, immunosuppression, trauma team

Abstract

Major trauma represents a paradigmatic clinical condition, needing multidisciplinary and structured approach. When a patient is affected by significant comorbidities such as diabetes mellitus and other conditions that compromise the immune competence the risk of infections in the presence of exposed fractures is remarkably high. Although usually managed by multidisciplinary teams, these patients often have unfavorable functional outcomes. We describe here the case of a young diabetic and immunosuppressed man, treated for a destroying injury of the left lower limb, with more than 60 centimeters of multiple fractures exposition. The prompt and fast integration of several different competences led to favorable functional outcome, without any severe local or systemic complication. Therefore, in severely injured patients, especially when affected by significant comorbidities, a quick and highly integrated treatment, provided by a polyspecialistic team, is crucial for reducing unfavorable outcomes and improving the recovery rate.

Author Biographies

Alessio Pedrazzini, Orthopaedic Clinics, Academic Hospital of Parma, Parma, Italy

Orthopaedic Clinic

Alessandra Martelli, Department of Anesthesia and Intensive Care Unit, Academic Hospital of Parma, Parma, Italy

Anesthesiology and Intensive Care Unit.

Maria Grazia Magotti, Division of Diabetology and Internal Medicine, Academic Hospital of Parma, Parma, Italy

Diabetology and Internal Medicine

Anna Maria Degli Antoni, Division of Infectious Diseases, Academic Hospital of Parma, Parma, Italy

Infectious Diseases

Gianfranco Cervellin, Emergency Department, Academic Hospital of Parma, Parma, Italy

Emergency Department

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Published

14-09-2015

How to Cite

1.
Integrated treatment of the severely injured patient with coexistent comorbidities. A case report and literature review. Acta Biomed [Internet]. 2015 Sep. 14 [cited 2024 Jun. 19];86(2):200-4. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/4065

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