Extensive Wet Gangrene Of The Foot

A 51-year-old male patient with type 1 diabetes diagnosed at the age of 25 years was admitted to the Vascular Surgery Department because of extremely painful wet gangrene on his right foot. The patient had proliferative diabetic retinopathy which had been treated with laser, significant loss of his visual acuity (3/10 in both eyes), hypertension and diabetic nephropathy. He had lived in a nursing home. His diabetes control was good (HBAic: 7%). The patient had complained of pain in his right foot when he was at rest, 4 weeks prior to

Diabetic Foot Infection Necrosis
Figure 7.21 Wet gangrene of the last two toes. An infected area of ischemic necrosis is also apparent on the dorsal aspect of the third toe. (Courtesy of E. Bastounis)
Wet Gangrene Toe
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