Merve Nur GÜLTEKİN, Aslıhan KAYA ÜNAL, Melike KARABULUT ÖZER, Bestegül ÇORUH AKYOL, Özgür ENGİNYURT
Middle Black Sea Journal of Health Science - 2026;12(2):344-352
Background: Chronic diseases are long-term health problems that affect millions of people worldwide, reduce quality of life, and negatively impact the physiological processes of wound healing. This report aims to demonstrate the successful management and healing of a complex chronic wound in a patient with multiple severe comorbidities through a holistic, primary care-led multidisciplinary approach. Case Report: A 51-year-old female patient with multiple chronic diseases and risk factors -including morbid obesity, diabetes mellitus, hypertension, and coronary artery disease -presented to the family medicine clinic with a chronic wound on the sole of her left foot. The patient's treatment plan included systemic antibiotics, Vacuum-Assisted Closure (VAC) therapy, and silver dressings, alongside comprehensive vascular evaluation and strict management of her systemic risk factors. Through this coordinated, multidisciplinary care strategy, the wound was successfully and completely healed over an eight-month period without the need for surgical intervention. Conclusion: Chronic diseases significantly complicate the wound-healing process by disrupting normal physiological mechanisms. Primary care physicians play a crucial role in navigating these complexities; a holistic, multidisciplinary approach is essential for facilitating successful wound healing and improving patient outcomes in high-risk populations.
