Reactions to Amputation: Recognition and Treatment

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Ms. A, a 51-year-old woman with diabetes mellitus (DM) type II and peripheral vascular disease (PVD), presented with several purulent, nonhealing ulcers of the right medial malleolus, sepsis, and wet gangrene of the right leg. Blind, as a complication of her DM, she had been poorly compliant with her care; she arrived at the hospital because she could no longer walk. Laboratory workup revealed an elevated erythrocyte sedimentation rate and magnetic resonance imaging (MRI) evidence of advanced osteomyelitis.​

Prim Care Companion J Clin Psychiatry 2007;9(4):303-308