Surgical wound dehiscence complicated by methicillin-resistant Staphylococcus aureus infection in a diabetic patient with femorotibial vascular bypass occlusion

Abstract

Diabetic patients with critical limb ischaemia may be affected by severe wound and skin ulcer infections. We report a case of a patient with bilateral femorotibial occlusion and methicillinresistant Staphylococcus aureus infection. The patient was treated with femoroperoneal vascular bypass, debridement of wound dehiscence and targeted antimicrobial therapy for symptom resolution and healing of the wound.

Isolation and identification of pathogenic biofilm-forming bacteria invading diabetic wounds

“…The phylogenetic analysis for the most biofilm-forming bacteria from all 100 recovered isolates, illustrated a probability to be Staphylococcus haemolyticus. This agreed with the data describing the virulence factors and risks associated with St.haemolyticus in the previous studies [55][56][57]. Substantially, the risk factor of diabetic wound infection is to delay in detection and the delay in treatment may cause further complications that may lead to limb amputation.…”