['Tramps feet' in vagrants].
The lifestyle of the homeless often implies lack of hygiene resulting in - neglected - feet pathology. The Public Health department for the homeless (GG&GD) was visited by a man aged 43 with drug addiction and schizophrenia who suffered from severe 'tramp's feet' complicated by cellulitis of the right lower leg, which had not been diagnosed adequately during a previous visit to an emergency department. Adequate antibiotic treatment improved the condition in a few days. 'Maladjusted' presentation of the homeless may lead to hasty, inadequate judgement and treatment by health care workers. These socially handicapped patients need proper physical examination and efforts to realise shelter, care and indicated treatment.
van Laere
I R
IR
Drugsafdeling, Gemeentelijke Geneeskundige en Gezondheidsdienst, Amsterdam.
D000328:Adult; D002481:Cellulitis / Q000175:diagnosis* / Q000209:etiology; D015897:Comorbidity; D005534:Foot Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006703:Ill-Housed Persons; D006801:Humans; D006920:Hygiene; D008019:Life Style; D008297:Male; D012559:Schizophrenia / Q000150:complications; D019966:Substance-Related Disorders / Q000150:complications