Nakayama et al. Journal of Medical Case Reports 2010, 4:24 http://www.jmedicalcasereports.com/content/4/1/24 accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Acknowledgements This study was supported by a grant-in-aid from the Osaka Tuberculosis Foundation. The authors are grateful to Ms. Reiko Hayashi for her linguistic help. Authors’ contributions TN, KH, YO and YM performed the assessment of the nutrition state and designed the nutrition treatment plan of the patient. SH supervised the nutrition treatment plan, wrote the manuscript, and reviewed the international literature. KO, TT and EN treated the patient’s tuberculosis and pressure ulcer. KH participated in the assessment of the patient’s clinical data. MS supervised the treatment of tuberculosis and revised the manuscript for important intellectual content. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests. Received: 22 November 2008 Accepted: 27 January 2010 Published: 27 January 2010 References 1. Kochevar M, Guenter P, Holcombe B, Malone A, Mirtallo J: ASPEN statement on parenteral nutrition standardization. JPEN J Parenter Enteral Nutr 2007, 31(5):441-448. 2. Levine GM, Deren JJ, Steiger E, Zinno R: Role of oral intake in maintenance of gut mass and disaccharide activity. Gastroenterol 1974, 67(5):975-982. 3. Kanie J, Suzuki Y, Iguchi A, Akatsu H, Yamamoto T, Shimokata H: Prevention of gastroesophageal reflux using an application of half-solid nutrients in patients with percutaneous endoscopic gastrostomy feeding. J Am Geriatr Soc 2004, 52(3):466-467. 4. Pressure ulcer stages. http://www.npuap.org/pr2.htm. 5. Lang A, Bardan E, Chowers Y, Sakhnini E, Fidder HH, Bar-Meir S, Avidan B: Risk factors for mortality in patients undergoing percutaneous endoscopic gastrostomy. Endosc 2004, 36(6):522-526. 6. Harris JA, Benedict FG: A biometric study of human basal metabolism. Proc Natl Acad Sci (USA) 1918, 4(12):370-373. 7. Stacher G, Lenglinger J, Bergmann H, Schneider C, Hoffmann M, Wölfl G, Stacher-Janotta G: Gastric emptying: a contributory factor in gastro- oesophageal reflux activity?. Gut 2000, 47(5):661-666. 8. Andres JM, Mathias JR, Clench MH, Davis RH: Gastric emptying in infants with gastroesophageal reflux: measurement with a technetium-99m- labeled semisolid meal. Dig Dis Sci 1988, 33(4):393-399. 9. Coben RM, Weintraub A, DiMarino AJ Jr, Cohen S: Gastroesophageal reflux during gastrostomy feeding. Gastroenterol 1994, 106(1):13-18. 10. Ayello EA, Thomas DR, Litchford MA: Nutritional aspects of wound healing. Home Healthc Nurse 1999, 17(11):719-729. 11. Pinchcofsky-Devin GD, Kaminski MV Jr: Correlation of pressure sores and nutritional status. J Am Geriatr Soc 1986, 34(6):435-440. doi:10.1186/1752-1947-4-24 Cite this article as: Nakayama et al.: Prompt improvement of a pressure ulcer by the administration of high viscosity semi-solid nutrition via a nasogastric tube in a man with tuberculosis: a case report. Journal of Medical Case Reports 2010 4:24. Page 4 of 4 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit