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Journal of Education, Health and Sport

Look under the sheets – a case report of diabetic foot
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Look under the sheets – a case report of diabetic foot

Authors

  • Marcin Makuch Medical University of Lublin, Chair and Department of Internal Diseases https://orcid.org/0000-0001-7139-9862
  • Marcelina Makuch Medical University of Lublin, Chair and Department of Pulmonology, Oncology and Allergology https://orcid.org/0000-0002-6850-7006

DOI:

https://doi.org/10.12775/JEHS.2021.11.06.002

Keywords

diabetic foot, Citrobacter koseri, infection

Abstract

     Diabetic foot is a long-term complication of diabetes mellitus that results directly from peripheral arterial disease or sensory neuropathy affecting the feet in diabetes mellitus. Diabetic foot is rare, but potentially lethal complication associated with the diabetes. The management of diabetic foot infections requires assessing the microbial etiology, attentive wound management, good nutrition, antimicrobial therapy and glycemic control. In several clinical circumstances, surgical resection is preferable.

     A 65-year-old patient with 2-month necrosis of the second toe of the left foot and recurrent fever is presented. Diabetic foot developed. Citrobacter koseri was isolated from bone cultures. Intravenous treatment with amoxicillin + clavulanic acid and metronidazole was administered for 2 weeks and the wound was poorly recovered. After a surgical consultation, the patient was qualified for the amputation of the second toe of the left foot.

References

Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis 2012; 54:e132.

Shakil S, Khan AU. Infected foot ulcers in male and female diabetic patients: a clinico-bioinformative study. Ann Clin Microbiol Antimicrob 2010; 9:2.

https://www.niddk.nih.gov/health-information/diabetes/overview/preventing problems/foot-problems

American Diabetes Association. 11. Microvascular Complications and Foot Care: Standards of Medical Care in Diabetes-2020. Diabetes Care 2020; 43:S135.

Wu L, Norman G, Dumville JC, et al. Dressings for treating foot ulcers in people with diabetes: an overview of systematic reviews. Cochrane Database Syst Rev 2015; :CD010471.

Elraiyah T, Tsapas A, Prutsky G, et al. A systematic review and meta-analysis of adjunctive therapies in diabetic foot ulcers. J Vasc Surg 2016; 63:46S.

Yaggi S, Arslan K, Tufan Z, et al. Osteomyelitis Due to Citrobacter koseri Infection in a Diabetic Patient. J Endocrinol Metab 2011; 1(3): 146-148.

Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis 2012; 54:e132.

Musuuza J, Sutherland BL, Kurter S, et al. A systematic review of multidisciplinary teams to reduce major amputations for patients with diabetic foot ulcers. J Vasc Surg 2020; 71:1433.

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Published

2021-06-06

How to Cite

1.
MAKUCH, Marcin and MAKUCH, Marcelina. Look under the sheets – a case report of diabetic foot. Journal of Education, Health and Sport. Online. 6 June 2021. Vol. 11, no. 6, pp. 23-27. [Accessed 7 July 2025]. DOI 10.12775/JEHS.2021.11.06.002.
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Issue

Vol. 11 No. 6 (2021)

Section

Case Reports

License

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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