A 52-year-old man with untreated diabetes mellitus (HbA1c, 11.9%) presented with a 1-week history of the acute onset of swelling and pain in the left foot concomitant with a fever… Click to show full abstract
A 52-year-old man with untreated diabetes mellitus (HbA1c, 11.9%) presented with a 1-week history of the acute onset of swelling and pain in the left foot concomitant with a fever (39.4 °C). His white blood cell count and Creactive protein concentration were 25,600 cells/mm and 22.6 mg/dL, respectively. His left foot was reddish and edematous with foul-smelling areas of necrosis (Picture 1). Radiographic and magnetic resonance T2-weighted imaging of the affected foot showed gas and increased signal intensity
               
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