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Case study · Infected diabetic foot ulcer with great-toe gangrene

Septic great-toe gangrene: early limb-preservation care

A severe infected diabetic foot ulcer with right great-toe gangrene and sepsis in the setting of type 2 diabetes, hypertension and chronic kidney disease.

48-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.

48-year-old male. The presentation recorded HbA1c above 13.2% and a high-risk infected diabetic foot requiring urgent assessment.

Care pathway documented in this case

  • Proximal and distal phalanx osteotomy
  • Aggressive wound debridement
  • Infection control and wound-bed optimisation

Outcome & follow-up

Progress is recorded with context.

The presentation documents complete wound healing in 28 days, resolution of sepsis and successful limb salvage.

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
Clinical record
Clinical image 6 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.