title: Conservative treatment in a patient with diabetic osteomyelitis: antibiotic treatment is sufficient for complete bone regeneration in selected cases.
abstract: Diabetic foot ulcers are commonly complicated by bone involvement and osteomyelitis. Diagnosing diabetic osteomyelitis can be problematic. However, positive findings at clinical examination and X-ray may set the diagnosis. Recent guidelines suggest that selected cases of diabetic osteomyelitis can be treated conservatively with antibiotics. We report on the successful treatment of a 52-year-old man with diabetes with osteomyelitis in the distal phalanx of a toe. On X-ray, the affected phalanx appeared completely eroded. However, regeneration of the bone tissue was observed following outpatient treatment with antibiotics. We therefore encourage doctors to provide conservative treatment for selected cases of diabetic osteomyelitis.
authors.affiliation: Odense University Hospital (OUH), Odense C, Denmark.
authors.forename: Sune Møller
authors.initials: SM
authors.lastname: Jeppesen
authors.affiliation: Department of Orthopaedic Surgery, Odense University Hospital (OUH), Odense C, Denmark.
authors.forename: Johnny
authors.initials: J
authors.lastname: Frøkjær
authors.affiliation: Department of Endocrinology M, Odense University Hospital (OUH), Odense C, Denmark.
authors.forename: Knud
authors.initials: K
authors.lastname: Yderstræde
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D017719:Diabetic Foot / Q000209:etiology; D005436:Floxacillin / Q000627:therapeutic use*; D005839:Gentamicins / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D005436:Floxacillin