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{
    "pk": 6253,
    "title": "Not All Sacral Wounds Are Sacral Decubitus Ulcers: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction:</b> Sacral wounds are commonly seen in the emergency department and typically get diagnosed as a pressure ulcer of varying stage. However, other disease processes and infections can affect the sacrum.<br><p></p><p><b><b>Case Report:</b> </b>Presented here is the case of an evolving sacral wound in a 70-year-old, immunocompromised woman that was eventually found to be localized herpes zoster and later became disseminated.</p><p></p><p><b><b><b>Conclusion:</b> </b></b>This case demonstrates the need for a broad differential diagnosis for sacral wounds that include atypical presentations for herpes zoster or herpes simplex virus. We discuss the guidelines for treatment and the classification of localized vs disseminated herpes zoster.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "herpes zoster"
        },
        {
            "word": "sacral wounds"
        },
        {
            "word": "immunocompromised"
        },
        {
            "word": "disseminated"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/04v490s6",
    "frozenauthors": [
        {
            "first_name": "Forrest",
            "middle_name": "",
            "last_name": "Lindsay-McGinn",
            "name_suffix": "",
            "institution": "Kaiser Permanente Vacaville Medical Center, Department of Emergency Medicine, Vacaville, California",
            "department": ""
        },
        {
            "first_name": "Cory",
            "middle_name": "",
            "last_name": "Munden",
            "name_suffix": "",
            "institution": "Hospital of the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania",
            "department": ""
        }
    ],
    "date_submitted": "2023-11-08T13:43:46.207000-05:00",
    "date_accepted": "2023-11-08T13:48:48.719000-05:00",
    "date_published": "2023-11-08T09:00:00-05:00",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/6253/galley/3805/download/"
    },
    "galleys": [
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/6253/galley/3805/download/"
        }
    ]
}