Affiliation
Royal College of Surgeons in Ireland Medical School, Beaumont Hospital, Dublin,, Ireland. drcdavenport@gmail.comIssue Date
2012-02-01T10:01:53ZMeSH
Diabetes Mellitus, Type 1/complicationsDiabetic Foot/*therapy
Drug Resistance, Multiple, Bacterial
Humans
*Hyperbaric Oxygenation
Kidney Transplantation
Male
Middle Aged
Pancreas Transplantation
Metadata
Show full item recordCitation
Foot Ankle Spec. 2011 Feb;4(1):45-8. Epub 2010 Dec 6.Journal
Foot & ankle specialistDOI
10.1177/1938640010387663PubMed ID
21135264Abstract
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
engISSN
1938-7636 (Electronic)1938-6400 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1177/1938640010387663