Osteomyelitis in diabetes mellitus



osteomielit in diabetes mellitusLiterally osteomyelitis is inflammation of bone marrow. In medical practice called osteomyelitis inflammation of all layers of bone from the bone marrow to the periosteum. As a consequence of diabetes osteomyelitis develops mostly in the lower extremities, often involves the toes, and develops on the background of ischemic disease of lower extremities and diabetic microangiopathy. In other words, diabetes mellitus initially results in the development of ischemic disease of the lower extremities, disturbances in the vascular system at the level of end-arteries and disease of the peripheral nervous system, and as a consequence of these complications, develop diabetic foot and osteomyelitis. But a direct damaging effect of hyperglycemia altered metabolism of calcium is also significant in the development of osteomyelitis in diabetes mellitus.

diabetes is dangerous in the first place glucosetoxicity. The glucose is a collection of the damaging mechanisms of the impact of hyperglycemia (high blood sugar). It is important that, if adequately monitor the level of glucose in diabetes mellitus can significantly delay the development of complications because the toxic effect of glucose will be minimized. Between the beginning of the disease and its complications runs 10 - 12 years, and often the diagnosis of newly diagnosed diabetes is already on the background of complications of the disease. One of these complications is diabetic foot.

diabetic footDiabetic foot involves a combination of a number of earlier complications of diabetes mellitus with varying severity of each. These include: neuropathy (damage to the endings of nerve fibers); micro - and macroangiopathy (vascular disorders), arthropathy and osteoporosis (metabolic bone and joint); decreased resistance to infections. Diabetic foot syndrome is divided into neuropathic, ischemic and mixed forms. Purely practically, these forms are separated by a fairly conventionally, and mixed form prevails, when the disease came to the stage of gangrene of the fingers.

the Main symptoms of diabetic foot are impaired sensitivity of the legs, cold, excessive dryness or moisture, swelling, cracks, and typical deformity of the foot. The treatment of diabetic foot and its complications in the form of osteomyelitis is carried out comprehensively by a surgeon, an endocrinologist and a neurologist.