Infected Plantar Diabetic Foot Ulcers

Description

Mr Donatas Chlebinskas gives his expert insights and discusses two distinct types of diabetic foot issues. The first case involves a patient suffering from an infected plantar diabetic foot ulcer, characterized by the absence of systemic infection symptoms. This patient also has diabetes and peripheral vascular disease. It's noted that revascularization can significantly enhance the effectiveness of subsequent antibiotic and local surgical treatments, thereby promoting healing of the ulcer.



In contrast, the second case describes a more severe condition known as diabetic foot attack. This is marked by systemic signs of sepsis, rapidly spreading infection, and tissue necrosis in the foot, often stemming from a chronic plantar diabetic foot ulcer. For these patients, the initial treatment involves acute radical debridement to address the critical infection and tissue damage.




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DOI: 10.1302/3114-251160

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