Diabetic Foot Infection

comprehensive care for Diabetic Foot Infection

60 y.o. male admitted to the hospital with a 103 fever, white blood cell count of 19,000 (normal is 6-10,000).
Right foot is red hot swollen and draining pus from a sore under the 5th metatarsal joint.
Emergency I and D was performed that evening (incision and drainage).
The foot drained tons of pus from between the 4th and 5th toes as well as a 2nd area of infection under the 5th metatarsal head.
Two days after the I&D the patient was without fever and the white blood cell count was down to 12,000.
This patient was determined to be an uncontrolled, previously undiagnosed diabetic with a blood sugar on admission of 530.
One week later the foot stabilized as did the infection and blood sugar.
He was brought back to the Operating room for amputation of a now gangrenous 5th toe and removal of infected bone at the 5th metatarsal.
The initial photo shows this foot one-week post-op prior to the initiation of wound healing growth factor application and debridement.
The photos are taken at 2 week intervals with debridement weekly.
This patients arterial blood flow was assessed post I & D to be normal.
All of the damage to his foot was due to the destruction caused to the tissue by this raging infection.
The wound cultured out Strep and the bone Staph. He was treated for 6 weeks with I.V. antibiotics.
He is currently well controlled diabetic and wearing normal conservative shoe gear.