A clinical case study of a patient presenting with a rare case of haematogenous osteomyelitis occurring in charcot neuroarthropathy (CN). After 15 weeks of failed treatment for CN, ulcerations appeared on the lateral and medial aspects of the foot. A bone biopsy was performed followed by thorough irrigation with a povidone iodine and saline 50/50 mix. STIMULAN beads were placed as a carrier material for gentamicin and vancomycin and administered into the biopsy sites and ulceration.
At 6 months all wounds had healed, the infection had resolved and charcot neuroarthropathy had reached the inactive phase. At 12 months post initial presentation, the foot remains infection and ulcer free.
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