Multidisciplinary management of complicated diabetic foot with favorable clinical evolution: a case study
DOI:
https://doi.org/10.71068/hs000101Keywords:
diabetic foot, infection, osteomyelitis, multidisciplinary team, wound healing.Abstract
Introduction: This case addresses pie diabético complicado, a clinically relevant condition in which early recognition, structured assessment, and risk-adapted treatment can substantially modify outcomes. The presentation illustrates how nonspecific or complex findings may delay diagnosis when they are interpreted separately. Objective: To describe the diagnostic reasoning, individualized intervention, multidisciplinary decisions, and clinical evolution of an adult patient with pie diabético complicado. Case presentation: A 62-year-old patient presented with úlcera plantar infectada del antepié derecho con celulitis, necrosis marginal y sospecha de osteomielitis. Clinical assessment, laboratory testing, targeted imaging, differential diagnosis, treatment, and follow-up were documented sequentially. Results: The integrated evaluation established infección moderada-severa de pie diabético con osteomielitis focal y enfermedad arterial periférica. Management included desbridamiento quirúrgico, toma de cultivos profundos, antibiótico intravenoso inicial ajustado a microbiología, control glucémico intensificado, descarga plantar y valoración vascular. The patient showed disminución progresiva del eritema y marcadores inflamatorios, granulación adecuada, revascularización endovascular selectiva y cierre casi completo de la lesión a las 12 semanas. Conclusions: The case highlights the value of linking diagnostic probability, objective severity, repeated reassessment, and individualized treatment. A favorable outcome depended on timely decisions, coordinated care, and a structured follow-up plan rather than on a single diagnostic test or isolated intervention. Clear escalation criteria and patient education supported safe transitions between acute care and outpatient follow-up.
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