Diabetic foot attack: Managing severe sepsis in the diabetic patient

Figure 1 A patient presenting with right foot necrotizing fasciitis with a typical diabetic foot attack. A: A plain radiograph of a right foot demonstrating gas in the soft tissues, secondary to necrotizing fasciitis; B: A T2 magnetic resonance imaging image of a right foot demonstrating gas in the soft tissues, secondary to necrotizing fasciitis. R: Right.

Figure 2 A patient presenting with left foot pyomyositis with a typical (infective) diabetic foot attack, secondary to a Charcot arthropathy and heel ulceration. A: A plain radiograph of a left foot, with severe Charcot arthropathy and an extensive heel ulcer, with gas in the soft tissue and associated soft tissue swelling; B: A T2 magnetic resonance imaging image of a left ankle demonstrating Charcot arthropathy, with soft tissue collections (pus) in the plantar foot musculature (pyomyositis). L: Left; HBL: Horizontal beam lateral.

Figure 3 Flowchart of proposed treatment framework for diabetic foot attack. DFA: Diabetic foot attack; MRI: Magnetic resonance imaging; CT: Computed tomography.