A Case Report On Gas Gangrene With Diabetic Foot Ulcer Of Left Limb Toe Amputation

INTRODUCTION:Gas gangrene is an uncommon but potentially it prevents the diabetic foot infection, diabetes is associated with various complication and reduced the quality of life of the patient. the major foot complication like cellulitis, ulceration and gas gangrene shows different clinical condition among them. Case presentation:A 35 years old male admitted in Tertiary care hospital Wardha, in surgery ward with the complaints of fever, small bleb over the left foot, inflammatory signs around the site of the wound, Increased heart rate, excessive sweating, swelling in the area around an injurysince 15 days.No history of hematemesis, abdominal pain, nausea, vomiting. No history of cold, cough, loss of consciousness. No history of trauma.There was no associated illness were present like,tuberculosis, asthma and thyroid disorder.Physical examination and systemic examination was done. In the chest, there are no symmetrical lesions, no axillary lymph node enlargement, S1 and S2 sounds was normal, No pleural effusion. There is no scarring on the abdomen, spleen, or liver, no growth, no bowel sound, and no fluid accumulation. The upper and lower extremities are both moving usually but swelling over lower extremities over toes. Therapeutic management: Patient was admitted to surgery ward for conservative management of small bleb over the left foot, inflammatory signs around the site of the wound, Increased heart rate, excessive sweating, swelling in the area around an injury since 15 days. Sugar level is 210 mg/dl. Allthe routine investigation done. The patient had been investigations like, blood test, Physical examination, X-ray, CT Scan, MRI is done to check for areas of dead muscle tissue.Microbial culture test was performed that reveals positive for staphylococcus aureus bacteria. Patient was started on IV fluid, antibiotics, analgesic, antacid and another supportive medication.Surgery opinion was taken and patient was advised for conservative management. Conclusion: due to conservative management and quality nursing care patient condition was stable and had no active complaints at present and improves the quality of life of the patient. hence patient is being discharged.