title: A rare case of diabetic hand ulcer caused by Streptococcus agalactiae.
abstract: This study reports the case of a 71-year-old woman with type 2 diabetes whose paronychia rapidly progressed to the right middle finger and then to the whole dorsal aspect necrosis of the right hand. After admission, the diagnosis of diabetic hand ulcer was established and Streptococcus agalactiae found as the pathogen. The authors controlled glucose, used 3% hydrogen peroxide and sulfadiazine silver in routine dressing, as well as surgical debridement, topical negative pressure, and skin grafting. The wound closed in 32 days after surgery. Diabetic hand ulcer is often developed from a small wound. The wound, if neglected, will expand very quickly and may lead to amputation and even death. So early diagnosis, standardized treatment, and postoperative rehabilitation is very important.
authors.affiliation: Shanghai Jiao Tong University, Shanghai, Peoples' Republic of China.
authors.forename: Ming
authors.initials: M
authors.lastname: Tian
authors.forename: Xiqiao
authors.initials: X
authors.lastname: Wang
authors.forename: Yurui
authors.initials: Y
authors.lastname: Xiao
authors.forename: Shuliang
authors.initials: S
authors.lastname: Lu
authors.forename: Yuzhi
authors.initials: Y
authors.lastname: Jiang
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000382:microbiology; D005260:Female; D006225:Hand / Q000098:blood supply / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D009336:Necrosis; D054843:Negative-Pressure Wound Therapy; D016038:Skin Transplantation; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D013292:Streptococcus agalactiae
chemical_list: D000900:Anti-Bacterial Agents