Reactions to Amputation: Recognition and Treatment

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Ms. A, a 51-year-old woman with diabetes mellitus (DM) type II andperipheral vascular disease (PVD), presented with several purulent,nonhealing ulcers of the right medial malleolus, sepsis, and wet gangreneof the right leg. Blind, as a complication of her DM, she had been poorlycompliant with her care; shearrived at the hospital becauseshe could nolonger walk. Laboratory workup revealed an elevated erythrocyte sedimentationrate and magneticresonance imaging (MRI) evidence of advancedosteomyelitis.