Diabetic foot infections in the elderly: primary amputation versus 'foot-sparing surgery'. A case report

Int Wound J. 2007 Dec;4(4):315-21. doi: 10.1111/j.1742-481X.2007.00348.x.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amputation, Surgical / methods*
  • Anti-Bacterial Agents / therapeutic use
  • Bacterial Infections / complications
  • Bacterial Infections / diagnosis
  • Bacterial Infections / therapy*
  • Debridement / methods
  • Diabetic Foot / complications
  • Diabetic Foot / diagnosis
  • Diabetic Foot / therapy*
  • Diabetic Nephropathies / complications
  • Diabetic Nephropathies / diagnosis
  • Follow-Up Studies
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / diagnosis
  • Male
  • Risk Assessment
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Skin Transplantation / methods*
  • Time Factors
  • Wound Healing / physiology

Substances

  • Anti-Bacterial Agents