Wet Gangrene And Sepsis

Dry Gangrene

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...

Fungal Infection With Multimicrobial Colonization

Diabetic Dermopathy Treatment Adults

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...

Diffuse Osteopenia In The Foot

Sausage Toe Osteomyelitis

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...