Statement of Problem: 56 year old male presented to ER with change in mental status, BP 70/30, WBC 40.40, DM, and presumed septic. On day two of admission a rapidly increasing cellulitis was observed on the back, extending to the right flank, down the hip, and lateral thigh. Aggressive surgical intervention identified multiple abscesses and tracking down to muscle, through the flank expressing copious pus. Cultures were positive for MRSA.

Rationale: We will present the progress of a middle aged male patient, unconscious, on a ventilator with DNR orders, to one who was transferred to long term care, conscious, agitated, combative, assaultive and requiring massive wound care. The goal of treatment was to provide dressing changes with minimal interruption to the patient psyche, maintain a low pain threshold, and provide rapid healing to wound closure that this patient can return to surroundings with which he is familiar.

Methodology: We will demonstrate this patient's progress to healing and discharge without infection and further surgical intervention by using PVA impregnated with Methylene Blue and Gentian violet dressings.

Results: This patient able to be discharged and return to his facility with a healed incision line four months after admission.