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Colegio de Medicina Interna de México.

2021, Number 2

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Med Int Mex 2021; 37 (2)

Clinical and microbiological characteristics of patients with diabetic foot

Mendoza-Martínez P, Almeda-Valdés P, Janka-Zires M, Gómez-Pérez FJ

Language: Spanish
References: 22
Page: 196-211
PDF size: 446.87 Kb.


ABSTRACT

Background: Diabetic foot is a group of syndromes in which neuropathy, ischemia and infection produce tissue injury, morbidity and damage. Osteomyelitis is a frequent complication that, even in 66% of cases, is associated with amputation.
Objective: To know the clinical characteristics and microbiology of osteomyelitis in diabetic foot of bone biopsies at National Institute of Medical Sciences and Nutrition Salvador Zubirán in Mexico City.
Materials and Methods: Ambispective, observational study consisting of a review of the data in the records of patients with a diagnosis of diabetic foot treated at the National Institute of Medical Sciences and Nutrition Salvador Zubirán (Mexico City) between June 2016 and June 2019.
Results: Seventy-seven complete records of patients with a diagnosis of diabetic foot treated for the first time were studied, 43 were men with a median age of 60 years. Fifty-nine patients had ulcers and 14 patients suffered amputation. The variables associated with amputation were male sex (p = 0.05), erythrocyte sedimentation rate (p ‹ 0.0010), C-reactive protein (p = 0.004), leukocytosis (p = 0.001) and the absence of popliteal, posterior tibial and pedial pulses on examination (p = 0.002, 0.002 and 0.0, respectively).
Conclusions: Male patients, with non palpable or diminished pulses of the affected limb, a clinical presentation of a PEDIS 4 ulcer, markers of inflammation present and Charcot deformity require close monitoring, due to the risk associated with amputation.


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