RESUMO
A 78-year-old diabetic woman experienced multiple sites of gangrene not only in fingers that were directly bitten by a dog but also in fingers and toes that had not beenbitten. Her glycemic control was fair and microvascular complications were mild. There were no clinical findings related to angitis, collagenosis or severe infection. The fingers and toes with gangrene were amputated. The pathological diagnosis was diabetic gangrene. This report presents a case of multiple sites of gangrene of the fingers and toes after a dog bite in an elderly patient with type 2 diabetes.
Assuntos
Mordeduras e Picadas/complicações , Diabetes Mellitus Tipo 2/complicações , Cães , Gangrena/etiologia , Idoso , Amputação Cirúrgica , Angiografia , Animais , Complicações do Diabetes/etiologia , Complicações do Diabetes/cirurgia , Feminino , Dedos/diagnóstico por imagem , Dedos/patologia , Dedos/cirurgia , Gangrena/diagnóstico por imagem , Gangrena/cirurgia , Humanos , Dedos do Pé/diagnóstico por imagem , Dedos do Pé/patologia , Dedos do Pé/cirurgiaRESUMO
Fungus infection is high frequently complicated of the diabetic foot. Especially onychomycosis make a injury neighbor toe skin or paronychia. This tiny lesion make a bacterial infection, and progress to foot gangrene unfortunately if patient delayed treatment. So it is important to do daily check of the foot and regularly foot care included nail care. Toenail onychomycosis need medicational treatment just after microscopically diagnosis. It is important to check the interaction between the antifungal medicine and other medicine, and side effect after started treatment.
