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Year : 2020  |  Volume : 12  |  Issue : 2  |  Page : 134-136

An unusual cause of multiple foot ulcers in a patient with type 2 diabetes

Department of Diabetes and Endocrinology, Rashid Centre for Diabetes and Research, Ajman, United Arab Emirates

Correspondence Address:
Dr. Akrem Y M Elmalti
Department of Diabetes and Endocrinology, Rashid Centre for Diabetes and Research, University Street, P.O. Box: 21499, Ajman
United Arab Emirates
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmbs.ijmbs_61_20

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Diabetes is the most common cause of nontraumatic lower limb amputation. The majority of those amputations are preceded by an ulcer, usually as a result of peripheral neuropathy, peripheral vascular disease, or a combination of both. Regular foot examination and multi-disciplinary team approach are supported by evidence as tools to reduce foot ulceration. A cause for foot ulceration is not always evident, but presumed trauma or burn are usually thought. We are presenting a rather unusual case of a 70-year-old patient with long-standing diabetes and peripheral sensory neuropathy who first presented with bilateral superficial foot ulcers. On follow-up visits, further new superficial multiple ulcers were discovered and a possibility of rat bite was raised which he and his family denied. His daughter later confirmed the sighting of rodent biting his flesh. Rodent bites causing foot ulcers are rare; however, the clinician's vigilance is key for the early detection and treatment.

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