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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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9O Yr Old Diabetic, Having History Of Celulitis In Legs. Infected Lesion On Right Heel And Left Leg Above The Ankle. Infection Spread To Vagina. Gave Antibiotics, Reduced Vaginal Infection But Not Legs

My 90-year old mother is in hospice care. She is diabetic and has had a history of celulitis in her legs below the knee . There is an infected lesion on her right heel and another on her left leg, just above the ankle. This infection spread to her vagina two weeks ago. The hospice doctor agreed to a round of oral antibiotics which helped the vaginal infection but not the legs. What can we expect?
Tue, 26 Jun 2012
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General & Family Physician,  's  Response
HI...
Thank u for choosing HCM...
For cellulitis of leg with diabetes the most effective treatment is strict glycemic control...Its the only key..
If the ulcer is not healing or its spreading to nearby sites it means her sugar is off the charts...
Consult her doctor...Adjust her insulin dose by maintaining her sugar charts and monitoring...
Continue local wound toileting...
Get bacterial culture and sensitivity and change the antibiotic accordingly...
Keep the area neat and clean...
Maintain hygeinic practices...
Thank u...
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9O Yr Old Diabetic, Having History Of Celulitis In Legs. Infected Lesion On Right Heel And Left Leg Above The Ankle. Infection Spread To Vagina. Gave Antibiotics, Reduced Vaginal Infection But Not Legs

HI... Thank u for choosing HCM... For cellulitis of leg with diabetes the most effective treatment is strict glycemic control...Its the only key.. If the ulcer is not healing or its spreading to nearby sites it means her sugar is off the charts... Consult her doctor...Adjust her insulin dose by maintaining her sugar charts and monitoring... Continue local wound toileting... Get bacterial culture and sensitivity and change the antibiotic accordingly... Keep the area neat and clean... Maintain hygeinic practices... Thank u...