Wet Gangrene And Sepsis

Sepsis Diabetes

A 65-year-old male patient who had type 2 diabetes since the age of 45 years and was being treated with sulfonylureas, was brought to the emergency clinic suffering from a fever. He had left paraplegia following a stroke 6 months earlier. One month before admission the toes of his left foot became gradually very painful Figure 7.5 Calf support device which provides a larger resting surface thus offloading pressure from the heel Figure 7.5 Calf support device which provides a larger resting...

Diffuse Osteopenia In The Foot

Metatarsal Joints Under Foot

Figure 5.4 Neuropathic ulcer over a bony prominence in a patient with neuro-osteoarth-ropathy Figure 5.4 Neuropathic ulcer over a bony prominence in a patient with neuro-osteoarth-ropathy its base is clean, covered by healthy granulating tissue. Therapeutic footwear was prescribed extra depth shoes with an orthotic insole and a window under the ulcerated area and the patient was advised to minimize his activities. The ulcer healed in 3 months. Ulcers in patients with midfoot collapse recur very...

Fungal Infection With Multimicrobial Colonization

Picture Diabetic Fungal Infection

Superficial ulcers of 10 days' duration on the facing sides of the left first and second toe of a 70-year-old type 2 diabetic lady with diabetic neuropathy, before debridement are shown in Figures 8.8 and 8.9. Note soaking of the skin. An X-ray excluded osteomyelitis. Staphylococcus coagulase-negative, Pseudomonas aerugi-nosa and enterobacteriaceae were recovered after swab cultures in addition to Candida albicans. She was treated successfully with itraconazole for 5 weeks. The patient used a...

Onychomycosis Hallux Valgus And Hammer Toe Deformity

Hallux Valgus And Rigid Hammer Toe

A 68-year-old female patient with diabetes diagnosed at the age of 50 years and treated with insulin, was referred to the outpatient diabetic foot clinic because of foot deformities and recurrent superficial toe ulcers. The patient had findings of peripheral neuropathy. Peripheral pulses were palpable. No other diabetic complications were present. Onychomycosis was noticed and confirmed by direct microscopic examination of nail specimens. The skin on her feet was dry hallux valgus and hammer...