{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T12:07:34Z","timestamp":1788782854359,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":249,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Critical Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Duchenne muscular dystrophy (DMD) is an X\u2010linked recessive genetic disorder characterized by the absence of dystrophin, leading to progressive muscle degeneration and generalized weakness. It primarily affects males in early childhood and progresses to loss of ambulation and cardiac and respiratory complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>This case report describes a 26\u2010year\u2010old male with terminal\u2010stage DMD who was admitted to the surgical intensive care unit (SICU) in a critically ill state with multiple\u2010organ failure. He was ventilator\u2010dependent via tracheostomy, hypotensive, anemic, and required cardiovascular support. He also had multiple pressure ulcers, including a Stage IV ulcer with associated edema, acute renal failure managed with continuous renal replacement therapy (CRRT), and sepsis due to mixed bacterial and fungal infections. Broad\u2010spectrum antimicrobial therapy and intensive wound care were provided. This case highlights that advanced\u2010stage DMD is a severe multisystem condition requiring intensive, specialized, and multidisciplinary care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underscores the critical importance of a multidisciplinary approach in managing complex patient conditions, emphasizing the prevention of secondary complications such as pressure ulcers and pulmonary infections. Adherence to evidence\u2010based guidelines, coupled with psychosocial and ethical considerations related to quality of life, remains essential. Establishing standardized care protocols, enhancing healthcare team training on the specific needs of these patients, and promoting home\u2010based and palliative care services are strongly recommended to ensure comprehensive, coordinated, and patient\u2010centered management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crcc\/9969987","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T11:07:45Z","timestamp":1788779265000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond the Diagnosis: A Comprehensive Case Report on Duchenne Muscular Dystrophy"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5145-3702","authenticated-orcid":false,"given":"Mahmoud Abdel Hameed","family":"Shahin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0705-5711","authenticated-orcid":false,"given":"Atheer Ali","family":"Asiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9452-6607","authenticated-orcid":false,"given":"Areej Salah","family":"Alotaibi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2885-898X","authenticated-orcid":false,"given":"Huda","family":"Majrashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0789-7918","authenticated-orcid":false,"given":"Saeedah","family":"Khubrani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8269-7289","authenticated-orcid":false,"given":"Shorouq Hashel","family":"AlQarni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5953-5429","authenticated-orcid":false,"given":"Shomokh Saad","family":"Alqurashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9074-9370","authenticated-orcid":false,"given":"Manal Essa","family":"Samti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2372-3431","authenticated-orcid":false,"given":"Zahra Hashel","family":"AlQarni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_14_1_2","volume-title":"StatPearls Treasure Island","author":"Venugopal V.","year":"2023"},{"key":"e_1_2_14_2_2","volume-title":"What is Duchenne","author":"Parent Project Muscular Dystrophy","year":"2026"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.17816\/PED13337-46"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2023.12.015"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0304984"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40478-023-01657-z"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.54393\/pjhs.v5i01.1253"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejphar.2023.175675"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/biom14050575"},{"key":"e_1_2_14_10_2","volume-title":"StatPearls Treasure Island","author":"Hickey S. 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