CONTEXT AND OBJECTIVE Diabetic patients present high risk of having to undergo minor or major amputation during their lifetimes, because of ischemia or infection. The aim of this study was to identify and quantify risk factors for major amputation in diabetic patients with foot infections. DESIGN AND SETTING Retrospective clinical-surgical trial at the Vascular Surgery Service of Santa Casa d...

background necrotizing fasciitis is an uncommon severe infection involving the subcutaneous soft tissue, particularly the superficial and often the deep fascia. early diagnosis is of utmost importance since the disease progress rapidly. the present study was conducted to determine clinical, laboratory and therapeutic aspects of necrotizing fasciitis in a group of iranian patients referred to a ...

DESCRIPTION Amedical residentwoke up in the nightwith an intense itch of the left wrist and recovered a tick nearby. The bite mark over 2 days progressed as a long linear erythematous, swollen and tender streak extending up to the axilla along the medial aspect of the upper limb (figures 1 and 2) alongwith a tender axillary lymphadenopathy. A Doppler ultrasound revealed normal venous system wit...

necrotizing fasciitis is a part of a spectrum of necrotizing soft tissue infections that usually follow a surgical intervention or a chronic / acute medical illness. diagnosis is often based on symptoms which classically start within hours after an injury. there are no reports on the use of pet/ct in this condition. sparing reports of its association in patients with malignancy (ca of colon and...

The literature on benign transient lymphangiectasis of the penis (BTLP) was reviewed; reports of 45 cases were collected and a further series, comprising 21 cases, is presented. Both the published and present series support the view that BTLP is associated with recent sexual activity; little support is given for an infective cause and it is confirmed that BTLP is a benign, self-limiting conditi...

A 54-year-old diabetic man presented with a linear erythema newly appearing on his right lower inner leg (Picture A). He had a history of repeated tinea pedis, and physical examination revealed the presence of redness on his right fourth toe (Picture B). The “tramline” seemed to originate from the toe, ascending to his inner thigh (Picture C). He was febrile, and laboratory testing showed leuko...

Six patients with lymphocoele or sclerosing lymphangitis of the penis attended the Department of Venereology, Royal Infirmary, Edinburgh, during a 9-month period. Clinical details of these patients are given and the aetiology of the condition is discussed.