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2019, Número 1

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Revista Cubana de Angiología y Cirugía Vascular 2019; 20 (1)


Características clínicas, serológicas e imagenológicas de los pacientes con úlcera del pie diabético complicada con osteomielitis

García HAL, Balbona PCR, Febles SR, Vázquez DO, Salgado MAI

Idioma: Español
Referencias bibliográficas: 43
Paginas: 1-17
Archivo PDF: 308.84 Kb.


RESUMEN

Objetivo: Determinar las características clínicas, serológicas e imagenológicas presentes en los pacientes con úlcera del pie diabético complicada con osteomielitis.
Métodos: Estudio observacional prospectivo, en 280 pacientes ingresado en el servicio de Angiología del Hospital Provincial Universitario "Comandante Faustino Pérez Hernández" de Matanzas por presentar úlceras del pie diabético, con sospecha de infección y de osteomielitis de las úlceras. La osteomielitis se diagnosticó mediante histología del hueso. El período de estudio osciló entre enero de 2013 y diciembre de 2017, ambos incluidos.
Resultados: Se encontraron los siguientes elementos clínicos en los pacientes diagnosticados con osteomielitis: proceder de una zona rural, edad mayor de 59 años, tiempo de evolución de la diabetes mayor a los 14 años, glucemia al ingreso mayor de 10 mmol/L, área de la lesión mayor de 5,4 cm2, infección severa según la Infectious disease Society of America, test de contacto óseo con sonda acanalada (positivo), velocidad de sedimentación globular mayor de 90 mm y rayos X positivo del pie.
Conclusiones: Existen características clínicas, serológicas e imagenológicas predominantes en los pacientes con úlceras del pie diabético y diagnóstico histopatológico de osteomielitis.


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