[Wound care with essential oils after enucleation of a chronic abscess].
BACKGROUND
Advances in wound care over the past years have led to a growing number of products, techniques and interventions which are extremely costly and tend to neglect the individual patient and their specific needs.


OBJECTIVE
The present case report describes the post-operative care of a chronically infected wound by use of essential oils.


METHODS
In October 2007, a 41- year-old woman suffered a minor, non-bleeding lesion between toes IV and V of her right foot during gardening. Within a few hours, an extensive phlegmona of the right forefoot developed extending almost up to the ankle. In April 2008, Corynebacterium diphteriae was identified in the pus. In May 2008, it was decided to enucleate the chronic abscess that had developed despite several oral antimicrobial therapies. Wound care with essential oils was started 5 days after enucleation of the chronic abscess and continued until July 2008.


RESULTS
Granulation tissue and epithelisation were growing quickly and without complications, and scar formation was fine. The scar is bland, slim and at skin level.


CONCLUSIONS
The essential oils applied were selected according to their antiinflammatory, analgesic, and antimicrobial properties as well as their capacity to promote wound healing. Applied medical aroma therapy makes use of these properties to support wound healing.
Steflitsch
Wolfgang
W
Osterreichische Gesellschaft für wissenschaftliche Aromatherapie und Aromapflege (OGwA), Wien, Osterreich. wolfgang.steflitsch@chello.at
D000038:Abscess / Q000188:drug therapy* / Q000382:microbiology / Q000601:surgery*; D000328:Adult; D003353:Corynebacterium diphtheriae / Q000502:physiology; D004165:Diphtheria / Q000188:drug therapy* / Q000601:surgery*; D005260:Female; D018409:Foot Injuries / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D009822:Oils, Volatile / Q000008:administration & dosage* / Q000494:pharmacology*; D016896:Treatment Outcome; D014945:Wound Healing / Q000187:drug effects*
D009822:Oils, Volatile