IT WAS A CASE OF CELLULITIS WHICH WAS CURED BUT OCCURED AGAIN AFTER A

HERE IS A MALE PATIENT AGED ABOUT 63 YEARS , KNOWN DIABETIC AND HYPERTENSIVE HAD GOT THIS TYPE OF LESION ON LEFT LEG......DIAGNOSIS AND TREATMENT. WITH DUE RESPECT TO CUROFIANS....DR.RAJESHGOPAL MBBS IMA PMC REG NO 35726.LUDHIANA.

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This is a case of 63 years old male with Type 2 DM, Hypertension, and cellulitis of left leg and foot. What is the duration of cellulitis? Investigations FPG PPG HBA1C CBP RFT Fasting lipid profile LFT TFT ECG Micralbuminuria CUE X ray of left leg Vascular doppler of the same limb Treatment is 1 Meticulous control of diabetes with insulin. 2 Control Hypertension 3 Absolute bed rest. 4 Elevation of the effected limb 5 Antibiotics against gram positive gram negative and anerobes 6 Tissue lytics like chymotrypsin and trypsin 7 Refer to a surgeon
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severe cellulitis with DM. since no ulcer,usually infecting organism will be staphylococcus. so the antibiotics should be augmenting with metronidazole.Palpate red area .Aspirate fluctuant area,if pus comes do incision and drain at the particular area.Send aspirate for C&S.On seeing the image, there are multiple black spots showing the necrosis. Don't elevate limb in diabetic foot,as infection ascend up through neurovascular bundle. Most of diabetic foot pts are neuroischaemic,on elevation of limb aggravate the ischaemia. antibiotic based on C&S report.
very good explanatory answer sir. thank u
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This is a case of Cellulitis Left leg including foot. The patient is suffering from T2DM HTN. Work up. FPG 2hr PG HbA1c RFT CBP, ESR CUE Fasting Lipid profile Serum Electrolytes. Management. Admit the case Foot end elevation Appropriate Antibiotics against Gram positive Gram negative Aenarobes. Meticulous control of DM with Basal Bolus insulin Regimen. In case required Fasciotomies. Daily wound dressings. Tissue Lytics like Trypsin chymotrypsin.
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as patient is diabetic it is severe form of erysipela Adv. parentral antibiotics inj. lizolid . I. v. metrogyl anti inflamatory drug like disperzyme. elevation of leg. control of diabetics. if not treated properly patient may develop ncrotizing fascitis leading to necrosis of skin. in that case you will need early debridment.
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Cellulitis rx leg elevation .inj insulin. antibiotics and analgesic & trypsin bromolein preparation.
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Chronic Cellulitis...Control DM BY Order a cbc esr RFT S- electrolyte and Renal and LL DOPPLER
Uncontrolled DM with cellulitis.. needs aggressive management.. sos surgery..
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cellulitis see wbc accordingly antibiotic . limb elevation mgso4 dressing
cellulitis Antibiotics Rest bsl control leg elevation
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Cellulitis, advised antibiotics & control diabetes.
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