Clinical case report: Treatment and care results for post-traumatic infection in patients with type II diabetes at the General Clinic of the Hanoi University of Public Health

Abstract

Objectives of the study: To describe a clinical case of care and treatment of severe post-traumatic wounds in a patient with type 2 diabetes at the General Clinic of Hanoi University of Public Health. Patient: A 56-year-old man with a history of type 2 diabetes who did not receive treatment regularly, entered the clinic on August 9, 2018, for the reason of pain and runny pus at the forearm wound. Two months ago, the patient fell down the stairs, injured his forearm, and had an extensive ulcer wound that got infected. The patient was treated at many hospitals but the wound was not healed, deep ulcers had to be cut and kept it open. After that, the patient admitted to the clinic, was performed some subclinical tests, received internal treatment combined with surgery, was cared for the wound by infrared light, and followed a nutrition plan for diabetics. After 4 months of treatment, the wound healed, formed a scar, and painless. Conclusion: Treating infected wounds in patients with special conditions is extremely difficult. To heal quickly, we can combine many treatments such as internal medicine, surgery, and physical therapy, nutrition therapy.