Diabetic foot

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Diabetes mellitus for 10 years. Presented with foot ulcer and soft tissue swelling.

Patient Data

Age: 55 years
Gender: Male
x-ray

Periarticular osteopenia involving 2nd to 5th metatarsophalangeal joints.

Lytic area in 5th metatarsal head - neck with cortical breach.

Soft tissue swelling with air foci in mid foot laterally.

No arterial calcification seen.

Case Discussion

Osteomyelitis.

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