Abstract
Renal failure diabetic patients who present with lower extremity gangrene represent one of the most difficult problems encountered in a typical vascular practice. We report the hospital course and management of a 74-year-old male patient with such comorbidities, affected by a non healing ulcer that progressed into a large plantar abscess. Our case unfortunately mirrors a common method of evaluation and therapy of patients with such comorbidities and sets up the stage for a very controversial subject.
MeSH terms
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Aged
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Amputation, Surgical / methods*
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Anti-Bacterial Agents / therapeutic use
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Bacterial Infections / complications
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Bacterial Infections / diagnosis
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Bacterial Infections / therapy*
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Debridement / methods
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Diabetic Foot / complications
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Diabetic Foot / diagnosis
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Diabetic Foot / therapy*
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Diabetic Nephropathies / complications
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Diabetic Nephropathies / diagnosis
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Follow-Up Studies
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Humans
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Kidney Failure, Chronic / complications
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Kidney Failure, Chronic / diagnosis
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Male
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Risk Assessment
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Sensitivity and Specificity
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Severity of Illness Index
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Skin Transplantation / methods*
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Time Factors
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Wound Healing / physiology