- 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 initiaiton 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.
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