Patient complaints of with wound over the foot present since 3 weeks. Patient is non diabetic. Lesion start as a small area and spread to surrounding tissue. No history of insect bite. What is the diagnosis and how to manage.

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Look for vascular insufficiency by colour doppler. An edge biopsy, debridement; antibiotics and good dressings.

It must have started as a Boil and was neglected by the pt. Now the Wound looks Healthy. Surgical dressing along with Augmentin 5 days. Multivitamin with Protein Supplements.

Infected wound not adequately and properly tted! Needs Doppler study If -'ve,then Debridment Dressing with higher antibiotic

Culture and sensitivity required for antibiotic selection. Rx Antibacterial and antifungal powder. Oral Antibiotic and antihistamine. But its looks like leishmaniasis. pentavalent antimony-based compounds together with amphotericin B, pentamidine isethionate and miltefosine, are the most commonly drugs available for the treatment of all forms of leishmaniasis.

@dr parshuram Agarwal Infected ulcer, take a swab for culture and sensitivity, dress with bactigra And oral antibiotics according to report.waite and see.

Infected wound needs debridement

it might b tuberculos ulcer... think of that also

Incision biopsy.Sq. ca. Xray foot.

Tthanku
0

Biopsy and surgical debridement is needed

Chronic non healing ulcer fairly wide Rx take a swab for culture and sensitivity start appropriate antibiotic & debridement dressing & when the wound comes to surface do a skin grafting if necessary

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