Rokade Aditi V, Mudey Abhay, Gupta Prishita, Rahate Nachiket P
Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Feb 25;16(2):e54905. doi: 10.7759/cureus.54905. eCollection 2024 Feb.
Diabetic foot is a syndrome complex that presents with a serious complication arising from a diabetic ulcer. Poor blood circulation and nerve injury (neuropathy), especially in the limbs, can result from persistently elevated blood sugar levels. These elements play an important role in the formation of diabetic ulcers, which frequently occur on the feet and are prone to infection and sluggish healing. These ulcers have the potential to worsen and develop diabetic foot, a more serious ailment if left untreated. Diabetic foot issues can lead to increased vulnerability to infections, gangrene, and in severe cases, amputation. Diabetes patients may fail to notice small wounds or infections because of reduced feeling from neuropathy, which can lead to more serious problems. Moreover, decreased blood flow makes it more difficult for the body to mend itself, which makes diabetic foot issues more difficult to manage and cure. Glycemic management, timely medical intervention, and routine foot care are essential for preventing and lessening the severe effects of diabetic foot. We herein highlight the case of a 57-year-old male with a traumatic diabetic foot in whom indocyanine green (ICG) dye was used to identify the uptake of the involved tissue. The aspect of this case is the late presentation of a patient with uncontrolled diabetes. Further, we can better manage the patient in the preoperative phase by using ICG.
糖尿病足是一种综合征，表现为糖尿病溃疡引发的严重并发症。血糖持续升高会导致血液循环不良和神经损伤（神经病变），尤其是在四肢。这些因素在糖尿病溃疡的形成中起重要作用，糖尿病溃疡常发生在足部，容易感染且愈合缓慢。这些溃疡有可能恶化并发展为糖尿病足，若不治疗，糖尿病足是一种更严重的疾病。糖尿病足问题会导致感染、坏疽的易感性增加，严重时会导致截肢。由于神经病变导致感觉减退，糖尿病患者可能注意不到小伤口或感染，这可能导致更严重的问题。此外，血流减少使身体更难自我修复，这使得糖尿病足问题更难处理和治愈。血糖管理、及时的医疗干预和日常足部护理对于预防和减轻糖尿病足的严重影响至关重要。我们在此强调一例57岁男性创伤性糖尿病足病例，该病例使用吲哚菁绿（ICG）染料来识别受累组织的摄取情况。该病例的特点是患者糖尿病控制不佳且就诊较晚。此外，通过使用ICG，我们可以在术前阶段更好地管理患者。
