Wet Gangrene Of The Hallux

Spectral Waveform Arterial Stenosis

A 72-year-old male patient with type 2 diabetes diagnosed at the age of 60 years and being treated with insulin, attended the outpatient diabetic foot clinic because of pain in his right hallux. His diabetes control was poor HBA1c 8.7 . He had hypertension and background retinopathy in both eyes. He was an ex-smoker. The patient had Figure 7.28 Wet gangrene of the right hallux and claw toe deformity. Ischemic hair, redness over toes, dystrophic nail changes can also be seen Figure 7.28 Wet...

Fungal Infection With Multimicrobial Colonization

Infected Diabetic Foot

Superficial ulcers of 10 days' duration on the facing sides of the left first and second toe of a 70-year-old type 2 diabetic lady with diabetic neuropathy, before debridement are shown in Figures 8.8 and 8.9. Note soaking of the skin. An X-ray excluded osteomyelitis. Staphylococcus coagulase-negative, Pseudomonas aerugi-nosa and enterobacteriaceae were recovered after swab cultures in addition to Candida albicans. She was treated successfully with itraconazole for 5 weeks. The patient used a...

Onychomycosis Hallux Valgus And Hammer Toe Deformity

Tits Tied Together

A 68-year-old female patient with diabetes diagnosed at the age of 50 years and treated with insulin, was referred to the outpatient diabetic foot clinic because of foot deformities and recurrent superficial toe ulcers. The patient had findings of peripheral neuropathy. Peripheral pulses were palpable. No other diabetic complications were present. Onychomycosis was noticed and confirmed by direct microscopic examination of nail specimens. The skin on her feet was dry hallux valgus and hammer...

Neuroischemic Ulcers At Various Sites

Diabetic Osteomyelitis Amputation

Neuro-Ischemic Ulcer with Osteomyelitis Neuro-Ischemic Ulcer on the Hallux with Osteomyelitis A 68-year-old obese male patient with type 2 diabetes diagnosed at the age of 46 years visited the outpatient diabetic foot clinic because of two chronic ulcers on his right hallux. He was treated with a combination of sulfonylurea during the day and a mixture of 20 rapid acting-80 intermediate acting insulin before dinner he also had dislipidemia which was being treated with simvastatin. On...