Wound management

Q: What organism or infection can be associated with a puncture wound in the foot of a patient wearing tennis shoes?
A: Puncture wounds in patients who were wearing tennis shoes that were saturated with sweat at the time of injury may become associated with pseudomonas tissue infection or osteomyelitis.

Q: What information should always be obtained concerning the patient's history when managing acute skin wounds?
A: When treating an acute skin wound, the patient's tetanus-immunization status should always be ascertained, and standard recommendations followed to ensure that the patient is protected against tetanus.

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New England Journal of Medicine - Vol. 359, No. 10, September 4, 2008