Clinical Case: Diabetes Mellitus Type I, Charcot Foot

Abstract

Context: Charcot's disease is a group of neuromuscular disorders that affect, especially, the peripheral nerves that connect the spinal cord and the brain with the muscles and sensory organs. This pathology is of great interest for the medical care of diabetic patients by all medical specialties and directed especially to primary health care. Objective: to describe the case of a patient with type 1 diabetes mellitus with Charcot foot, difficult clinical and psychological management, with a tendency to necrosis; and requires a tissue resection to solve the problem, through surgical intervention. Methodology: surgical cleaning of the foot was performed with approximation of the edges plus treatment with antibiotic therapy, which after 28 days of hospitalization, the patient was discharged in better condition. Clinical case: 23-year-old male patient, single, with higher education, attended the emergency room due to the presence of grade II perilesional edema in the right foot, scaly skin around the contour, intense ankle pain, 4x4x4cm ulcer in the plantar region, with three months of evolution, tunnelled, exudate with a bad smell and yellow color.