Case 4

A diabetic patient presents with a foot ulcer and the following Xray. What is the recommended initial treatment?

A:


IV Ciprofloxaxcin for 48 hours,

followed by 12-14 weeks of oral therapy may be adequate therapy for a diabetic foot ulcer that involves the bone. Of course, the therapy may need to be changed to be specific to the culture and sensitivity obtained. Surgical treatment may be required if there is not adequate vascularization or if there is not adequate response in the bone involved.