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Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus

We describe the case of a middle-aged woman with type 1 diabetes mellitus who presented to the emergency department with diabetic ketoacidosis. An intravenous cannula was inserted into the veins of the dorsum of the right foot due to difficulty in obtaining intravenous access in the upper limb for m...

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Autores principales: Vazeille, Stephan, Hawker, Lydia, Chandrasekar, Ramasubramanyan, Srinivas-Shankar, Upendram
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7389212/
https://www.ncbi.nlm.nih.gov/pubmed/32742865
http://dx.doi.org/10.7759/cureus.8898
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author Vazeille, Stephan
Hawker, Lydia
Chandrasekar, Ramasubramanyan
Srinivas-Shankar, Upendram
author_facet Vazeille, Stephan
Hawker, Lydia
Chandrasekar, Ramasubramanyan
Srinivas-Shankar, Upendram
author_sort Vazeille, Stephan
collection PubMed
description We describe the case of a middle-aged woman with type 1 diabetes mellitus who presented to the emergency department with diabetic ketoacidosis. An intravenous cannula was inserted into the veins of the dorsum of the right foot due to difficulty in obtaining intravenous access in the upper limb for managing diabetic ketoacidosis. Our patient developed edema and bullae on the dorsum of the right foot and received intravenous antibiotics for bullous cellulitis. Our patient developed ulceration on the dorsum of the right foot and over the next few months was admitted to hospital on several occasions with infected foot ulceration, which required several courses of intravenous antibiotics, larval therapy and surgical debridement of the necrotic eschar and slough. With regular review in the multidisciplinary diabetic foot clinic, the foot ulceration finally healed in eight months. This case highlights the importance of avoiding trauma in any form to the feet of people with diabetes even if aseptic techniques are taken.
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spelling pubmed-73892122020-07-31 Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus Vazeille, Stephan Hawker, Lydia Chandrasekar, Ramasubramanyan Srinivas-Shankar, Upendram Cureus Dermatology We describe the case of a middle-aged woman with type 1 diabetes mellitus who presented to the emergency department with diabetic ketoacidosis. An intravenous cannula was inserted into the veins of the dorsum of the right foot due to difficulty in obtaining intravenous access in the upper limb for managing diabetic ketoacidosis. Our patient developed edema and bullae on the dorsum of the right foot and received intravenous antibiotics for bullous cellulitis. Our patient developed ulceration on the dorsum of the right foot and over the next few months was admitted to hospital on several occasions with infected foot ulceration, which required several courses of intravenous antibiotics, larval therapy and surgical debridement of the necrotic eschar and slough. With regular review in the multidisciplinary diabetic foot clinic, the foot ulceration finally healed in eight months. This case highlights the importance of avoiding trauma in any form to the feet of people with diabetes even if aseptic techniques are taken. Cureus 2020-06-29 /pmc/articles/PMC7389212/ /pubmed/32742865 http://dx.doi.org/10.7759/cureus.8898 Text en Copyright © 2020, Vazeille et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dermatology
Vazeille, Stephan
Hawker, Lydia
Chandrasekar, Ramasubramanyan
Srinivas-Shankar, Upendram
Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
title Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
title_full Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
title_fullStr Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
title_full_unstemmed Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
title_short Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
title_sort recalcitrant foot ulceration in a patient with type 1 diabetes mellitus
topic Dermatology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7389212/
https://www.ncbi.nlm.nih.gov/pubmed/32742865
http://dx.doi.org/10.7759/cureus.8898
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