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Infections, Diabetic Infections, Cellulitis – Main Street Foot and Ankle Care, LLC

Infection can be caused by a number of different agents. The source of staphylococcal infection is usually in the nose or the perineum and it is thought that the infection is disseminated by the fingers and by clothing. Patients with lymphedema sustain either cosmetic or functional problems, and several studies have indicated the potential risk, though not high, transforming lymphedema to lymphangiosarcoma. 2) Necrotizing fasciitis causes infection below the skin and is very severe. Single-center prospective case series from 2010 to 2011, involving 30 diabetic patients ≥18 years old, 9 with non-ulcer lower extremity cellulitis and 21 with an infected foot ulcer. There is often a history of antecedent minor hand trauma (e.g. She was readmitted with cellulitis of her right foot and an associated abscess which required incision and drainage; later a ray excision of her second toe was performed.

The peak age of presentation of diabetics with soft tissue infection or foot disease was 50-59 years. People with diabetes can develop infections by several bacteria at the same time. Unlike the findings in previous reports, MR had much higher sensitivity and specificity than bone scans in detecting osteomyelitis in diabetic patients. Deep infections that develop puss pockets are called abscesses. Sometimes one infectious agent can lead to another. These infections can become very serious and even life threatening. Aminotransferases were normal.

People who suffer from venous stasis, chronic swelling in the legs, are prone to these infections. Cellulitis is also commonly seen in associated with athlete foot conditions. The athlete’s foot causes small breaks in the skin, which can become infected, by the Streptococcus bacteria. Boils may be isolated or multiple lesions; the latter are particularly likely on the buttocks. These lesions were unilateral occurance and the involved area was about 600 cm2 from the pretibial region to the posterior aspect of leg. Bacteria (eg, Staphylococci, Streptococci) cause cellulitis. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited.

Simply cleaning the outside of the puncture wound is not enough to prevent infection. Oral antibiotics should be prescribed and the wound watched carefully. If there is any sign of infection, surgical cleaning of the wound should be preformed. People with diabetes are at particular risk of infection. In fact, people with diabetes spend more time in the hospital for foot infections than for any other reason. Corns and calluses on the feet of people with diabetes can break down and allow bacterial invasion of the tissue. Diagnostic imaging, such as x-rays, bone scans, and MRIs may be used to see the depth of the infection.

Bone infections, called osteomyolytis, generally require surgery to remove the infected bone. 8% and 17% vs 7%, respectively). The presence of bone infection can be diagnosed with special tests such as bone scans, CT scans and MRI. These test are not 100% accurate however and the experience of the treating doctor becomes very important in making the correct determination as to the presence of bone infection. Gout, which is caused by an elevated blood uric acid level, can be confused with infection. aureus (MRSA) is a growing threat in hospitals but is also being reported in the community[6]. It is classically seen in the postmastectomy, lymphedematous arm (Stewart-Treves syndrome) but has also been reported in primary lymphedema and chronic filarial lymphedema.

Doctors can diagnose cellulitis based on the appearance of the skin. The infection is carried to the site by the blood stream. Close examination of the patient may reveal an abscessed tooth that likely is the source of the infection. In other instances no source of the infection can be found. People who have joint replacements, heart valve replacements or who have a pacemaker must be very cautious regarding infections. They are at risk of an infection spreading from another site to the area of their joint replacement, heart valve replacement or pacemaker. Also, people who have mitral valve prolapsed must be cautious if they have infections because the infection can spread to the heart.

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