Burn aggravated infected wart in a patient with type 2 diabetes: a medical challenge

Abstract

An infectious wart of foot in a patient with diabetics is a medical challenge, and it gets worse when aggravated with burns. We present a case of a 67-year-old Pakistani man, diabetic for 20 years presented at our healthcare centre. While awaiting his culture sensitivity report, he was prescribed an empiric antibiotic therapy. Patient then travelled to Saudi Arabia for pilgrimage 3 days later with growth of Staphylococcus aureus and Proteus species in culture and sensitivity report; during his travel, he walked barefoot and the infected wart aggravated with severe burn. Patient continued empiric treatment for 14 days. On his arrival, infected wart worsened with dead burnt skin, heavy purulent discharge on plantar region. X-rays revealed marked arthritic changes. Cefepime 500 mg three times a day intravenously was initiated following wound debridement. Patient was switched to moxifloxacin 400 mg once daily postoperatively for 7 days until completely healed.

Evaluation of intralesional Candida antigen in diabetic patients with multiple warts

“…For example, care should be taken when using destructive therapy to ablate plantar warts in diabetic patients, for fear of diabetic foot ulcers. Foot ulcers have always been a challenge for healthcare professionals when treating diabetic foot infections particularly if the patient has other deformities 16 . The prevalence of foot ulcers in diabetic patients is reported between 5.3% and 10.5%, and lifetime risk diabetic foot ulcer is 25% 17 .…”

Transmission of Antimicrobial Resistant Bacteria at the Hajj: A Scoping Review

“…Twenty-six of the 51 papers reported the results of AMR-related research conducted in hospital settings [ 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ] while eight were case reports [ 31 , 38 , 40 , 41 , 53 , 54 , 55 , 56 ]. One was an outbreak report [ 21 ], one hospital-based case-control study [ 45 ], and one article was an environmental to detect AMR in Makkah [ 57 ].…”

“…[ 27 , 32 , 42 , 47 , 50 , 64 ] and Proteus spp. [ 27 , 32 , 42 , 47 , 50 , 55 ] were reported in six studies, Enterococcus spp. in four studies [ 33 , 34 , 42 , 43 ], Salmonella spp.…”

“…Among the respiratory disease-causing AMR bacteria: Staphylococcus spp. in 17 studies [ 28 , 30 , 33 , 36 , 37 , 42 , 43 , 48 , 52 , 55 , 57 , 61 , 63 , 64 , 67 , 68 , 69 ], Streptococcus spp. in seven study [ 33 , 42 , 65 , 70 , 71 , 72 , 73 ], Neisseria meningitidis in three studies [ 21 , 22 , 54 ], Haemophilus influenzae was reported in two studies [ 27 , 32 ], Mycobacterium tuberculosis in two studies [ 74 , 75 ], and Stenotrophomonas maltophilia in one study [ 38 ].…”

“…These results are presented in Table 2 . In summary, resistance to beta-lactams class antibiotics was reported for 4856 AMR bacterial isolates in 45 studies [ 22 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 ], to quinolones (including fluoroquinolones) for 1611 AMR bacteria in 24 studies [ 22 , 27 , 29 , 32 , 33 , 35 , 38 ...…”