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Case study · Chronic infected diabetic foot ulcer with osteomyelitis

Metatarsal osteomyelitis: culture-guided wound care

A six-month right foot ulcer that progressed to sepsis with metatarsal-head osteomyelitis.

54-year-old maleConsent-led clinical record
Clinical image 1 from Merina Medical Centre case record

01

Presentation

02

Clinical care

03

Follow-up

Clinical context

Presentation and assessment.

54-year-old male. The case record identified a chronic infected ulcer with severe soft-tissue infection and systemic involvement.

Care pathway documented in this case

  • Metatarsal-head resection
  • Bone specimen for culture and sensitivity
  • Targeted antibiotic therapy

Outcome & follow-up

Progress is recorded with context.

The record highlights culture-led management after Citrobacter freundii, a multidrug-resistant organism, was identified.

This is a consent-led clinical record. Individual treatment pathways and outcomes vary for every patient.

A qualified clinician must assess an individual wound, circulation, sensation and infection risk before recommending care.

Clinical image record

The documented care journey.

Images are shown as part of the clinical record and should be viewed with respect for patient privacy and context.

Clinical image 1 from Merina Medical Centre case record
Clinical presentation
Clinical image 2 from Merina Medical Centre case record
Clinical record
Clinical image 3 from Merina Medical Centre case record
Clinical record
Clinical image 4 from Merina Medical Centre case record
Clinical record
Clinical image 5 from Merina Medical Centre case record
Follow-up image

A considered next step

Every case needs its own assessment and plan.

This record illustrates one patient journey. Speak with the MMC team to understand what assessment and care may be appropriate for your situation.