<abstract xmlns="http://www.w3.org/1999/xhtml"><p>This study presents the case of a 52-year-old man with a 15-year history of insulin-dependent diabetes, who developed phlegmon of his right foot following an attempt to remove a corn. On admission, the patient presented symptoms of incipient sepsis. The treatment – wide incisions on the foot, evacuation of collected pus and necrotic debris, as well as antibiotic therapy – allowed for stabilization of the patient’s general condition. However, the local infection of the foot did not withdraw and the patient required repeated surgeries, including amputation of the toes and meta-tarsal bones. The infection progressed, spreading to the lateral ankle and the distal part of the calf. During the next operation, following incision and drainage of pus, the substance Stimulan, which aids in the liberation of antibiotics, was introduced to the wounds; this appeared to be effective and resulted in control of the infection. Soft tissue defects were repaired by local flap-plasty and split skin grafting. At the follow-up examination 6 months later, the patient displayed completely healed wounds, wore normal shoe on the affected foot, and walked without any support.</p></abstract>

This study presents the case of a 52-year-old man with a 15-year history of insulin-dependent diabetes, who developed phlegmon of his right foot following an attempt to remove a corn. On admission, the patient presented symptoms of incipient sepsis. The treatment – wide incisions on the foot, evacuation of collected pus and necrotic debris, as well as antibiotic therapy – allowed for stabilization of the patient’s general condition. However, the local infection of the foot did not withdraw and the patient required repeated surgeries, including amputation of the toes and meta-tarsal bones. The infection progressed, spreading to the lateral ankle and the distal part of the calf. During the next operation, following incision and drainage of pus, the substance Stimulan, which aids in the liberation of antibiotics, was introduced to the wounds; this appeared to be effective and resulted in control of the infection. Soft tissue defects were repaired by local flap-plasty and split skin grafting. At the follow-up examination 6 months later, the patient displayed completely healed wounds, wore normal shoe on the affected foot, and walked without any support.

Rescue of diabetic foot from amputation – a case report

Pomeranian Medical University in Szczecin

Pomeranian Journal of Life Sciences

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Rescue of diabetic foot from amputation \u2013 a case report"}

This study presents the case of a 52-year-old man with a 15-year history of insulin-dependent diabetes, who developed phlegmon of his right foot following an...

Rescue of diabetic foot from amputation – a case report

Published Online: Sep 24, 2019

Page range: 54 - 57

DOI: https://doi.org/10.21164/pomjlifesci.610

Keywords
diabetes complications, diabetic foot ulcer, diabetic foot infection, amputation risk

© 2020 Andrzej Żyluk et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Rescue of diabetic foot from amputation – a case report

Published Online: Sep 24, 2019

Page range: 54 - 57

DOI: https://doi.org/10.21164/pomjlifesci.610

Keywordsdiabetes complications, diabetic foot ulcer, diabetic foot infection, amputation risk

© 2020 Andrzej Żyluk et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
diabetes complications, diabetic foot ulcer, diabetic foot infection, amputation risk