title: Ascending infection of foot tendons in diabetic patients.
abstract: Bone and soft tissue infection in the foot of diabetic patients is a well-described issue in the literature. A sound anatomical knowledge of the foot anatomy and compartments is mandatory to understand the mechanisms of infection spread. We describe four cases of diabetic foot infection complicated by long ascending infection. All did not respond initially to antibiotic treatment and the usual surgical debridement and were cured only after excision of the infected tendons. We highlight a rare but serious complication of the diabetic foot disease not commonly seen by the surgical community. We hope that this report raises the awareness of this condition so that a prompt diagnosis is made and appropriate treatment started, thereby reducing the risk of major lower limb amputations.
authors.affiliation: 1The University of Jordan, Amman, Jordan.
authors.forename: Ayman
authors.initials: A
authors.lastname: Mismar
authors.forename: Mohammad
authors.initials: M
authors.lastname: Yousef
authors.forename: Darwish
authors.initials: D
authors.lastname: Badran
authors.forename: Nidal
authors.initials: N
authors.lastname: Younes
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D003646:Debridement / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D017719:Diabetic Foot / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery; D004210:Dissection; D004322:Drainage; D005528:Foot; D006801:Humans; D023821:Limb Salvage / Q000379:methods; D008297:Male; D008875:Middle Aged; D018461:Soft Tissue Infections / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D013492:Suppuration / Q000209:etiology / Q000503:physiopathology; D013710:Tendons / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents
keywords: ascending infection; diabetic foot; resistant infection; tendons