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78 year old Veteran seen in outpatient orthopedic center for

management of chronic diabetic foot ulcer wound osteomyelitis.
Despite attempts to revascularize, Iv antibiotics, surgical wound
debridemen

1 Answer

6 votes

Final answer:

Diabetic foot ulcers and infections like gas gangrene caused by C. perfringens are serious complications of diabetes that can require surgical debridement and antibiotic treatment. Anaerobic environments are conducive to the growth of C. perfringens.

Step-by-step explanation:

The clinical situations described involve serious complications from diabetes, such as chronic diabetic foot ulcers, osteomyelitis, and the potential for severe infections like gas gangrene caused by C. perfringens. Diabetic foot ulcers can lead to significant morbidity and, in some cases, may require amputation if severe infection sets in and is not managed properly. The treatment for such conditions frequently includes revascularization, surgical debridement, and antibiotics. When discussing the growth conditions for C. perfringens, an anaerobic environment is recommended since C. perfringens thrives in the absence of oxygen, which is often the case in dead and infected tissue.

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