Old man got foot gangrene after buying old prescription diabetes medication himself

A source from Hoan My Cuu Long General Hospital said on June 3 that the hospital's doctors had just treated and saved the patient's gangrenous leg due to him arbitrarily buying diabetes medication according to an old prescription.

Previously, Mr. NVC (70 years old, living in Vinh Long province) was hospitalized with an abscess on his right foot. The abscess was incised and his right foot was swollen and painful. The swelling spread to the entire right foot and lower leg, with pus spots and intermittent fever.

The patient's condition improved well after intensive treatment.

The patient did not go to the doctor but bought and used the medicine himself. After taking the medicine, his condition did not improve but he felt more tired, had a fever, increased swelling and pain, and increased pus in his legs. At this time, the patient was admitted to the hospital for treatment.

The family said the patient had a history of diabetes (treated for 10 years), liver cancer (treated with transarterial chemoembolization (TACE) 4 times), cirrhosis, hepatitis C, high blood pressure and gout for many years.

Through examination and paraclinical testing, the doctor diagnosed the patient with sepsis from right lower leg cellulitis on the background of liver cancer with TACE, cirrhosis, hepatitis C, hypoalbuminemia, electrolyte disturbances, Cushing's syndrome, hypertension, ischemic heart disease, and gastroesophageal reflux.

After 12 days of treatment, the leg ulcer was clean of pus and had little granulation tissue.

The patient was given intravenous antibiotics, anti-inflammatory drugs, corticosteroids, electrolyte adjustment, blood sugar and hemodynamic stabilization, necrotic tissue debridement, local care of infected leg ulcers, and treatment of accompanying symptoms.

After 12 days, the patient's condition improved, the foot ulcer was clean and had little granulation tissue. The patient was discharged with instructions for home care of the foot ulcer and follow-up as scheduled by the doctor.

Dr. Thach Thi Phola, Head of the Endocrinology Department at Hoan My Cuu Long General Hospital, said that patient V.'s infection was very severe, with a risk of amputation. If not treated promptly, it could be life-threatening.

Doctor Phola recommends that patients need to have regular check-ups so that doctors can check clinical indicators and adjust medication accordingly.

In addition, diabetic patients should regularly monitor their blood sugar at home, have a reasonable diet and have regular check-ups to avoid possible dangerous complications.

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