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DOI: 10.4103/ijmbs.ijmbs_61_20
An unusual cause of multiple foot ulcers in a patient with type 2 diabetes
Diabetes is the most common cause of nontraumatic lower limb amputation. The majority of those amputations are preceded by an ulcer, usually as a result of peripheral neuropathy, peripheral vascular disease, or a combination of both. Regular foot examination and multi-disciplinary team approach are supported by evidence as tools to reduce foot ulceration. A cause for foot ulceration is not always evident, but presumed trauma or burn are usually thought. We are presenting a rather unusual case of a 70-year-old patient with long-standing diabetes and peripheral sensory neuropathy who first presented with bilateral superficial foot ulcers. On follow-up visits, further new superficial multiple ulcers were discovered and a possibility of rat bite was raised which he and his family denied. His daughter later confirmed the sighting of rodent biting his flesh. Rodent bites causing foot ulcers are rare; however, the clinician's vigilance is key for the early detection and treatment.
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Publikationsverlauf
Eingereicht: 02. Juni 2020
Angenommen: 04. Juni 2020
Artikel online veröffentlicht:
07. Juli 2022
© 2020. The Libyan Authority of Scientific Research and Technologyand the Libyan Biotechnology Research Center. All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License,permitting copying and reproductionso long as the original work is given appropriate credit. Contents may not be used for commercial purposes, oradapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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