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Complications of Therapy, Nursing Homes, and the Elderly

Arch Intern Med. 1998;158:695-696.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

FOLLOWING SEVERAL cerebrovascular strokes, an elderly man was placed in a nursing home for long-term care because of his immobility and paresis. Regular sessions in a heated whirlpool were part of his therapeutic regimen. One day, shortly after being placed in the whirlpool, he moaned and thrashed. He was promptly removed from the whirlpool and noted to have erythematous skin extending from the nipples to the feet. The on-call physician was notified and observed blistered and erythematous skin. Treatment consisted of burn wound management, and death occurred several days later from burn wound sepsis.

AUTOPSY FINDINGS

The results of the autopsy showed patterned thermal injury (burns) involving most of the skin surface of the trunk and extremities below the level of the nipples and included erythema and sloughed epithelium in a distribution typical of an immersion scald burn. Autopsy results also showed old cerebral infarcts, nonspecific changes related to aging, and no . . . [Full Text of this Article]

COMMENT

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Case of the Month: Wrapping Things Up
Hanzlick and the Autopsy Committee of the College of American P
Arch Intern Med 2000;160:3029-3031.
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