Recalcitrant Foot Ulceration in a Patient With Type 1 Diabetes Mellitus
- Resource Type
- Authors
- Ramasubramanyan Chandrasekar; Lydia Hawker; Upendram Srinivas-Shankar; Stephan Vazeille
- Source
- Cureus
- Subject
- larval therapy
medicine.medical_specialty
cannula
Diabetic ketoacidosis
Dermatology
030204 cardiovascular system & hematology
03 medical and health sciences
surgical debridement
0302 clinical medicine
diabetic ketoacidosis
Diabetes mellitus
medicine
diabetic foot ulcers management
Type 1 diabetes
integumentary system
business.industry
General Engineering
Endocrinology/Diabetes/Metabolism
Emergency department
medicine.disease
Diabetic foot
Cannula
Surgery
critical care
Cellulitis
Emergency Medicine
type i diabetes mellitus
business
delayed wound healing
030217 neurology & neurosurgery
Foot (unit)
- Language
- English
- ISSN
- 2168-8184
We describe the case of a middle-aged woman with type 1 diabetes mellitus who presented to the emergency department with diabetic ketoacidosis. An intravenous cannula was inserted into the veins of the dorsum of the right foot due to difficulty in obtaining intravenous access in the upper limb for managing diabetic ketoacidosis. Our patient developed edema and bullae on the dorsum of the right foot and received intravenous antibiotics for bullous cellulitis. Our patient developed ulceration on the dorsum of the right foot and over the next few months was admitted to hospital on several occasions with infected foot ulceration, which required several courses of intravenous antibiotics, larval therapy and surgical debridement of the necrotic eschar and slough. With regular review in the multidisciplinary diabetic foot clinic, the foot ulceration finally healed in eight months. This case highlights the importance of avoiding trauma in any form to the feet of people with diabetes even if aseptic techniques are taken.