Abstract
The present study has 3 aims: (a) to characterize the clinical and pathological features of diabetic foot infections, (b) to show the range of clinical presentations of moderate infections, and (c) to analyze the different behavior of diabetic foot osteomyelitis regarding to its clinical presentation. A definitive diagnosis of the type of infection was made based on intraoperative findings and histopathology. Diabetic foot infections were classified into 2 types: soft tissue and bone infections. Mild infections were always superficial. Severe infections included 75% of necrotizing soft tissue infections. Moderate infections showed ample range of clinical presentations. Eighty-one patients presented osteomyelitis. Osteomyelitis was further classified as follows: osteomyelitis without ischemia and without soft tissue involvement (class 1), osteomyelitis with ischemia without soft tissue involvement (class 2), osteomyelitis with soft tissue involvement (class 3), and osteomyelitis with ischemia and soft tissue involvement (class 4). Forty-eight patients (59.3%) with osteomyelitis underwent conservative surgery, 32 (39.5%) had minor amputations including 9 open transmetatarsal amputations, and there was 1 (1.2%) major amputation. T...Continue Reading
References
Sep 29, 1994·The New England Journal of Medicine·G M CaputoA W Karchmer
May 20, 1998·Diabetes Care·D G ArmstrongL B Harkless
Apr 29, 1999·Archives of Internal Medicine·D PittetP D Lew
Apr 15, 2000·Journal of Diabetes and Its Complications·M EnerothJ Apelqvist
Jan 5, 2002·AJR. American Journal of Roentgenology·Hans Peter LedermannWilliam B Morrison
May 20, 2004·Diabetes/metabolism Research and Reviews·N C Schaper
Oct 9, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Benjamin A LipskyUNKNOWN Infectious Diseases Society of America
Mar 1, 2006·Internal Medicine Journal·P R WraightP G Colman
Jan 24, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lawrence A LaveryBenjamin A Lipsky
Aug 23, 2008·Diabetologia·F J Aragón-SánchezD G Armstrong
Aug 4, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·J Aragón-SánchezJ V Beneit-Montesinos
Aug 26, 2009·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezJuan J Cabrera-Galván
Dec 17, 2009·Nature Reviews. Endocrinology·Fran Game
Mar 9, 2010·The International Journal of Lower Extremity Wounds·Javier Aragón-Sánchez
Jul 8, 2010·BMC Health Services Research·Benjamin G FinckeRobin Turpin
Jan 12, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·J Aragón-SánchezJ L Lázaro-Martínez
Mar 30, 2011·The International Journal of Lower Extremity Wounds·Javier Aragón-Sánchez
Oct 1, 2011·Diabetes Research and Clinical Practice·Javier Aragón-Sánchez, José Luis Lázaro-Martínez
Oct 14, 2011·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezMaria J Hernández-Herrero
Dec 14, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·J Aragón-SánchezM J Hernández-Herrero
Citations
Dec 17, 2014·Hospital Practice·Mazen S Bader, Afsaneh Alavi
Mar 15, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·A W J M GlaudemansB A Lipsky
Oct 17, 2013·Diabetes Care·José Luis Lázaro-MartínezEsther García-Morales
Sep 18, 2013·The International Journal of Lower Extremity Wounds·Almudena Cecilia-MatillaJuan Vicente Beneit-Montesinos
May 15, 2013·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezMaria J Hernández-Herrero
Nov 12, 2014·The International Journal of Lower Extremity Wounds·Eric Senneville, Sophie Nguyen
Apr 26, 2017·Endocrinología, Diabetes Y Nutrición·José Luis Lázaro-MartínezJosé Luis García-Klepzig
Sep 27, 2014·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezRaúl Molinés-Barroso
Mar 1, 2013·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezJose L Lázaro-Martínez
Sep 27, 2019·The International Journal of Lower Extremity Wounds·Han Jie LeeHsien Ts'ung Tay
Dec 13, 2017·Expert Review of Anti-infective Therapy·Javier Aragón-Sánchez, Benjamin A Lipsky
Oct 12, 2019·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Zi-Quan WuLei Peng
Jun 18, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Milad JalilianSajad Oubari
Feb 3, 2021·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezChristian Murillo-Vargas
Mar 9, 2021·Journal of Clinical Orthopaedics and Trauma·José Luis Lázaro-MartínezEsther García-Morales
Apr 24, 2021·The International Journal of Lower Extremity Wounds·Javier Aragón-SánchezChristian Murillo-Vargas
May 1, 2021·Medicina·Benjamin A Lipsky, İlker Uçkay
Jul 7, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Javier Aragón-SánchezMaría Eugenia López-Valverde
Jul 18, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Kaissar YammineChahine Assi