A 65-year-old male patient was presented with severe venous stasis ulcers of the lower extremities (B), approximately 1/2 way down and almost circumferential. The ulcers are full thickness and third-degree. There is a good granulation tissue. Patient is a heavy smoker and consumes alcohol frequently. Past medical history Diabetes type 2 (DM2), hypertension (HTN), venous stasis ulcers.
Past surgical history Bilateral (B) LE stasis ulcers status post (S/P) extensive debridements of both lower extremities and multiple failed skin grafts 2 years ago, right hallux amputation. The image of the ulcer shows grey-blue to green discoloration. Is it indicative of Pseudomonas infection? Patient presently on ampicillin and sulbactam to treat the infection. Do we need to change the antibiotic?
