A Rare Case of Diabetic Hand Ulcer Caused by Streptococcus agalactiae

作者：Tian, Ming; Wang, Xiqiao; Xiao, Yurui; Lu, Shuliang; Jiang, Yuzhi^*

来源：The International Journal of Lower Extremity Wounds, 2012, 11(3): 174-176.

DOI：10.1177/1534734612457032

• diabetic hand ulcer
• Streptococcus agalactiae
• negative pressure wound therapy

This study reports the case of a 71-year-old woman with type 2 diabetes whose paronychia rapidly progressed to the right middle finger and then to the whole dorsal aspect necrosis of the right hand. After admission, the diagnosis of diabetic hand ulcer was established and Streptococcus agalactiae found as the pathogen. The authors controlled glucose, used 3% hydrogen peroxide and sulfadiazine silver in routine dressing, as well as surgical debridement, topical negative pressure, and skin grafting. The wound closed in 32 days after surgery. Diabetic hand ulcer is often developed from a small wound. The wound, if neglected, will expand very quickly and may lead to amputation and even death. So early diagnosis, standardized treatment, and postoperative rehabilitation is very important.

• 出版日期2012-9
• 单位上海交通大学; 上海市闵行区中心医院