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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Have Developed Swelling In Feet. MRI Showed Infective Etiology, No Improvement With Antibiotics. Advise?

Hello Dr and Good Evening. My father is 68 years and he is a diabetic since the past 20 - 25 years. He has developed swelling in his left feet since 8 days now. (portion at ankle and feet.) His blood tests are all normal. we did a CBC, Kidney function tests all are normal as per reports. The MRI scan said it could be Infective Etiology . Antibiotics were given which did not yield any benefit. He is hospitalized and I am not sure if I need to continue to remain in the same hospital or seek a very specific specialist s opinion. Please advise. Thanks!
Tue, 30 Oct 2012
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM
Your father is diabetic for more than 20 years and swelling in Left lower limb it is unilateral so possibility of infective origin is strong and treatment would take some time to give result.
As kidney function are normal it is good another possibility is obstruction to blood flow in deep veins or Lymphatics?If it is possible take opinion of a Vascular surgeon.
If he is in hospital wait for some more time and let us hope for best.
A color doppler study of Left lower limb can help.
Take care
Good luck to you
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Diabetic, Have Developed Swelling In Feet. MRI Showed Infective Etiology, No Improvement With Antibiotics. Advise?

Hi, Welcome to HCM Your father is diabetic for more than 20 years and swelling in Left lower limb it is unilateral so possibility of infective origin is strong and treatment would take some time to give result. As kidney function are normal it is good another possibility is obstruction to blood flow in deep veins or Lymphatics?If it is possible take opinion of a Vascular surgeon. If he is in hospital wait for some more time and let us hope for best. A color doppler study of Left lower limb can help. Take care Good luck to you