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BMC Res Notes. 2018 Aug 13;11(1):579. doi: 10.1186/s13104-018-3694-x.

Successful nonsurgical therapy of a diabetic foot osteomyelitis in a patient with peripheral artery disease with almost complete radiological restoration.

Author information

1
Demetrios Voyatzoglou Diabetic Foot Clinic, Amalia Fleming Hospital Unit, Athens, Greece. ch-loupa@hol.gr.
2
Demetrios Voyatzoglou Diabetic Foot Clinic, Amalia Fleming Hospital Unit, Athens, Greece.
3
Radiology Department, Amalia Fleming Hospital Unit, Athens, Greece.

Abstract

BACKGROUND:

Diabetic foot ulcer (DFU) is a common complication in patients with diabetes mellitus (DM) and can consequently lead to soft tissue infection and osteomyelitis.

CASE PRESENTATION:

We present a case of a 68-year-old man with a history of Type 2 DM and symptomatic peripheral artery disease, referred to our hospital due to an infected lower extremity DFU. Cultures revealed methicillin-resistant Staphylococcus aureus and Stenotrophomonas maltophilia. There was a significant increase of inflammatory marker levels and plain X-rays revealed osteomyelitis. He underwent lower extremity angioplasty for the restoration of the blood flow. He received targeted intravenous antibiotic therapy for 2 weeks and continued ciprofloxacin along with clindamycin per os for 10 more weeks as outpatient.

CONCLUSION:

As a result, the patient presented almost complete healing of his DFU, reconstruction of osteomyelitis defects in X-ray and complete restoration of his foot functionality only 4 months after the end of the treatment. This case demonstrates a DFU complicated by osteomyelitis which resolved medically and nonsurgically, with the exception of surgical restoration of the blood flow.

KEYWORDS:

Angioplasty; Cellulitis; Diabetes mellitus; Diabetic foot infection; Nonsurgical therapy; Osteomyelitis; Peripheral artery disease; Surgical debridement

PMID:
30103808
PMCID:
PMC6090687
DOI:
10.1186/s13104-018-3694-x
[Indexed for MEDLINE]
Free PMC Article

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