Gangrene with Renal Disease & Diabetes

This was a patient referred from Saudi Arabia.

Chronic smoker, diabetic, peripheral arterial disease with end stage renal disease on hemodialysis thrice weekly. Patient had critical limb ischaemia and presented to us with gangrene of the left side first toe with  infection spreading to the proximal part of the foot with draining wounds.

Patient was operated, advanced wound care instituted and was also started on Hyper Baric Oxygen Therapy. Patient healed completely. Thereby the foot was saved and patient suffered loss of only one toe which was already gangrenous at presentation.

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