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The role of inflammatory markers in the diagnosis and follow-up of diabetic foot osteomyelitis

Burak Durmaz, Sarper Yilmaz, Handan Derebasinlioglu.




Abstract
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Aim: Diabetic foot infections are a major cause of mortality and morbidity in diabetic patients. These mortality and mortality rates increase further when osteomyelitis develops. Simple techniques are needed to facilitate the diagnosis and follow-up of diabetic foot osteomyelitis.
Material and Methods: Eighty-nine patients who underwent amputation due to diabetic foot between January 2012 and May 2017 were included in the study. The patients were grouped as those with or without osteomyelitis according to their pathology results. C-reactive protein (CRP) level and erythrocyte sedimentation rate (ESR) were assessed pre- and postoperatively.
Results: Preoperative ESR values were significantly higher in the osteomyelitis group (p0.05). Comparison of preoperative, postoperative 2-week, and postoperative 1-month ESR values showed a statistical difference among all time points (p

Key words: C-reactive protein; diabetic foot infections; erythrocyte sedimentation rate; osteomyelitis






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