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Suffering with DVT problem, non-healing open wound on right leg. Type 2 diabetic. Suggestions ?

Dr my brother in law has DVT problem for five years.......he has open wound in his right leg which is not healing for more than a year now....type 2 diabetic..............issue is he was reporting headache for twodays following which he had violent shiver with vomitting doha ..really scared .....can u pl tell us somethin about it....he says he goes numb on the right side of body after shiver shiver lasts for a minute (not sure)
Asked On : Sat, 22 Dec 2012
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General & Family Physician 's  Response
Hi there,
Thank you for writing to us.
I am sorry to know about your brother in law.
With a headache and fever along with vomiting the first thing that I would like to have done is an examination of the CSF (spinal fluid).
With these symptoms one of the things that I would like to rule out is an infection of the meninges (which are coverings of the brain) that can present in a similar fashion.
Since there is already a source of infection in the form of a wound, this can spread to the brain as well and could cause the symptoms that he is having.
Additionally he may be having a septicemia (infection that is widespread in the blood) which is something that is dangerous and needs to be treated with broad spectrum antibiotics.
It is also important that his blood glucose should be kept well in control because a high blood glucose will never allow an infection to be settled.
Kindest Regards
Answered: Mon, 24 Dec 2012
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