Bioactive Glass in a Rare Case of Osteomyelitis of the Heel in a Guillain-Barré Syndrome: A Case Report.
Elisabetta IacopiSimone FerrantiNicola RiitanoLorenza AbbruzzeseLetizia PieruzziChiara GorettiVirna ZampaAlberto PiaggesiPublished in: The international journal of lower extremity wounds (2020)
Guillain-Barré syndrome (GBS) represents an acute inflammatory immune-mediated demyelinating polyradiculoneuropathy with an incidence of 0.6 per 100 000 people. In this article, we report the case of a 19-year-old girl affected by GBS since the age of 2 who presented at our clinic complaining for a chronic plantar hindfoot-infected ulceration. Serology showed increase of inflammatory markers and leukocytosis, and magnetic resonance imaging revealed osteomyelitis of calcaneum and soft tissue alterations with air bubbles. The patient was treated in our clinic by an integrated multidisciplinary approach consisting of immediate admission, soft tissue and bone debridement, and administration of antibiotics under the close control of infectious disease specialist. After the control of acute condition, the patient underwent negative pressure therapy associated with instillation of antiseptic solution until the restoration of bone and soft tissue loss of substance and, eventually, to the application of bioactive glass substitute until the achievement of complete wound healing.
Keyphrases
- soft tissue
- case report
- rare case
- liver failure
- magnetic resonance imaging
- infectious diseases
- respiratory failure
- drug induced
- primary care
- emergency department
- aortic dissection
- palliative care
- risk factors
- oxidative stress
- magnetic resonance
- bone mineral density
- intensive care unit
- quality improvement
- newly diagnosed