Hyperbaric oxygen in the treatment of a diabetic foot ulcer.
Davenport, Colin Carmody, David Higgins, Sean Hickey, David P Smith, Diarmuid
Davenport, Colin
Carmody, David
Higgins, Sean
Hickey, David P
Smith, Diarmuid
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Date
2011-02
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Abstract
Although simultaneous pancreas and kidney transplant improves most complications of type 1 diabetes, suppression of the immune system increases the risk for infection. The authors report the case of a patient who, despite receiving a simultaneous pancreas and kidney transplant, subsequently developed neuro-ischemic ulcers of his right foot requiring repeated amputations. He then developed an infected ulcer of his remaining right big toe, with significant implications for his mobility. This ulcer proved resistant to multiple courses of antibiotics and care in a specialist foot clinic but resolved completely following a course of hyperbaric oxygen therapy. The role of hyperbaric oxygen in diabetic foot ulcers is not yet fully established but should be considered in resistant cases with vascular insufficiency and a significant infective component.
Language
en
ISSN
1938-7636
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ISBN
DOI
10.1177/1938640010387663
PMID
21135264