Abstract
A 54-year-old smoker with type II diabetes of 7 years duration had a minor abrasion laterally in the left fifth toe. The patient was known to have nephropathy and retinopathy. He was overweight and was on antihypertensive medication. Glucose control was good following recent addition of insulin to the oral medication. The superficial ulcer did not bother the patient, and it was initially followed up in the local healthcare centre. Two months later, the patient was referred to a community hospital because of infection and suspicion of osteomyelitis. Laterally to the head of the fifth metatarsal, there was an infected ulcer with secretion. On plain X-ray, osteomyelitis was suspected. Dorsalis paedis and tibialis posterior pulses were reported to be present. The C-reactive protein (CRP) level was 31 mg/1, leucocytes 14.8x109/1, and blood glucose 12 mmol/1.
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Lepäntalo, M., Kallio, M. (2003). Diabetic Foot. In: Geroulakos, G., van Urk, H., Hobson, R.W., Calligaro, K.D. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-3870-9_26
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DOI: https://doi.org/10.1007/978-1-4471-3870-9_26
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