Case report: Infected foot ulcer and methicillin-resistant staphylococcus aureus bacteremia in a diabetic patient

Abstract

Diabetic foot ulcer is one of the most frequent complications affecting the diabetic patient. While there has been considerable progress regarding the diagnostic tools and the range of antibiotic choices, the outcome is often unsatisfactory, the presence of peripheral arterial occlusive disease being among the main factors influencing the evolution. This paper describes the management of a patient presenting with an infected foot ulcer and persistent methicillin-resistant Staphylococcus aureus bacteremia, furthercomplicated by spondylodiskitis and infectious endocarditis: the case gives an opportunity to review the literature in search of theoptimal care and the right treatment choices.