In June, my husband was trimming hedges. About 3 days later he had a "sore" spot on his leg. (He is diabetic). It appeared to be a small sore that had a raised scab on it. It was painful to the touch. I put neosporin and a bandaid on it over nite. The next morning it had bled and when I removed the bandaid, something that appeared to be a small stick (size of the end of a pencil lead and about 1/2 inch long) came out and created a hole in hole. Over the next week, the hole became bigger and bigger. It was about the size of 50 cent piece when he went to the doctor. He thought he had been bitten by a spider and maybe the "twig" was the stinger. After two weeks the doctor decided to remove the necrosed area (now silver dollar size) and about 1/8 inch deep. After several weeks of trying to get it to heal as it drained yellow thick drainage, they opted for a skin graft. A clean split thickness skin graft cut about 4 inches long of tissue was removed from thigh and grafted to this area on his shin. Weeks went by before the skin graft itself decided to take but in the meantime the donor site which had almost closed and seemed healed began to open up. It has "grown" to 3 or 4 inches wide and at least 4 inches long of "hamburger" looking flesh. Each pore seems to have opened up to a crater and it bleeds every day. It had a odor for a couple of weeks just recently but that has gone away. We go to the wound care clinic weekly and change the dressing daily. the site where the graft was placed has finally healed over, but where the suture was placed (there were 4 placed around the site to hold the pressure dressing in place but only the top one nearest the knee has eroded) started after eight to ten weeks with a "blood blister" appearance about the size of a pencil eraser. that area has now gotten the same "hambuger" growing appearance and is now size of quarter.
We have had four different surgeon, wound care specialists see him at the wound care clinic, his family doctor and the cardiac doctor have all looked at these two areas and all have said "we've never seen anything like this before, don't understand why it is doing it or what is causing it to do it" This has been going on since June, surgery was in July 7th and we are about at our wits end.
Couple of side notes: Besides diabetic, he was found to have Atrial Flutter on the pre-op testing in July. The week after surgery the cardiologist put him on Coumadin. As his PT, INR was rising, we thought this may have been causing the bleeding, but he had the necrosis beginning before the surgery in the original site. He has gotten so frustrated with the meds he is on, he stopped taking everything except his insulin two weeks ago, but the leg is still not healing.
Any suggestions as to what is causing this tissue erosion, non healing? At this point, any new ideas would be great!