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2019, Number 1

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

Clinical, serological and imaging features of patients with diabetic foot ulcer complicated with osteomyelitis

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

Language: Spanish
References: 43
Page: 1-17
PDF size: 308.84 Kb.


ABSTRACT

Objective: To determine clinical, serologic and imageonology characteristics that are present in osteomyelitis of these ulcers which are diagnosed by means of histopathological studies and bones histology.
Methods: Prospective, observational study in a cohort of 280 patients with diabetic foot ulcer, with suspicious of infection and osteomyelitis of the ulcers that were attended in the Provincial Service of Angiology of Matanzas. Osteomyelitis was diagnosed by bone histology. The study period oscillated between January 2013 to December 2017, both included.
Results: The following clinical elements were predominat: rural zone procedence, older than 59 years, time of evolution of the diabetes mellitus bigger than 14 years, fast plasmatic glucose of more than 10 mmol/l, wound area bigger than 5.4 cm2, severe infection according to criteria of the Infectious Disease Society of America (IDISA), probing to bone test (positive), VSG > 90 mms; and positive result in the foot´s X Ray.
Conclusions: There are clinical, serological and imagenology characteristics that are predominant in the patients with diabetic foot ulcers and histopathological diagnosis of osteomyelitis.


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