This is a man who has been dealing with a diabetic foot ulcer for months, got infected seeding infection into the first webspace. It was opened up immediately and luckily the infection did not appear to involve the second toe despite the x-ray findings. Second metatarsal head diabetic foot ulcer with deep infectionConcern for infection of … Continue reading Webspace Infection
This is a prediabetic male in his mid 60s who all of a sudden he developed redness and swelling in his right ankle that quickly traveled up his leg. He does not have any wounds, nor had he gotten sick recently. He had a white count in the 20s, and felt totally fine, did not … Continue reading Massive tendon infections
This man came into the hospital with a wound on his right foot with some swelling and redness. His x-ray did not show evidence of bone infection or gas. An MRI was ordered which showed a bit of swelling in the muscles and skin, no abscess or bone infection. He was awake and talking pleasantly. … Continue reading A subtle diabetic flesh eating infection
This is a patient of mine who have had toes amputated from infected foot ulcers before, so unfortunately he already knew that he has a bad infection in his foot. The knuckle underneath the third toe is exposed and there is pus deep within his foot, making his third toe very swollen. It is possible … Continue reading Deep foot infections do not always end in foot amputation
A Zebra in a Stampede of Horses The overwhelming majority of bone infections in diabetic feet are called contiguous spread osteomyelitis, meaning the bone infection began by spread from an area close by. There exists something called hematogenous spread osteomyelitis, meaning the bone infection began by spread from the bloodstream. Let me explain. When you get a cut, … Continue reading Why Bone Infections and Foot Ulcers Go Hand in Hand
This is something that can happen, where you have a deep foot ulcer, and rightly so, your doctor is concerned and suspicious for a bone infection because of how deep the ulcer is. An x-ray is ordered, which is negative. Well, x-rays are not very sensitive for bone infection, so next, a MRI (magnetic resonance … Continue reading Doc! Do I Have A Bone Infection?
We treat infections either surgically or with antibiotics, sometimes both. How we devise the treatment plan depends on what kind of infection we are dealing with, so let's talk about the different kinds of infections. Cellulitis (skin infection) Cellulitis is the medical word used to describe an infection of the skin. Usually, there is a … Continue reading Understanding Diabetic Foot Infections