@article{Bharadia_Sturgeon_Baird_Aldrete_2021, title={Smoldering subcutaneous polymicrobial infection concealed beneath a cast and a skin graft: Delayed wound healing due to recurring soft-tissue infections}, volume={9}, url={https://pulmonarychronicles.com/index.php/pulmonarychronicles/article/view/745}, DOI={10.12746/swrccc.v9i37.745}, abstractNote={<p>Injury to soft-tissues secondary to trauma is common and may require surgical intervention depending on the extent of the injury and the structures involved. Motor vehicle accidents are a leading cause of traumatic injury and often require surgical irrigation and debridement (I&amp;D) to remove damaged and necrotic tissue while preserving tissue integrity and function. Surgical intervention carries its own risks, however, with the introduction of pathogens to the surgical site being a potential complication. This case of an 18 yr. old woman with a chronic would due to recurring skin and soft tissue infections (SSTIs) highlights the complications of surgical intervention and the difficulty of dealing with recurring SSTIs. The patient suffered a left knee injury with patellar tendon laceration secondary to trauma from a motor vehicle accident. She initially underwent surgical irrigation and debridement, followed by patellar tendon repair with a rotational flap to close the open wound. Following the initial closure in December 2019, the patient underwent 6 more I&amp;Ds and wound debridement over a 5-month period due to a chronic non-healing wound with recurring SSTIs.&nbsp; Wound Healing was tentatively achieved with antibiotic coverage for both Staph Aureus and Pseudomonas Aeruginosa.</p&gt;}, number={37}, journal={The Southwest Respiratory and Critical Care Chronicles}, author={Bharadia , Deepak and Sturgeon, Ashley and Baird, Daniel and Aldrete, Jonathan}, year={2021}, month={Jan.}, pages={78-81} }