Last updated on February 2, 2024
Nyityasmono Tri Nugroho1,2*, Muhammad Reza Nasution2
BACKGROUND: Corona virus (COVID 19) is an infection caused by a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The manifestation is from mild symptoms to severe symptoms such as respiratory failure and death. The severity of symptoms that arises in COVID-19 patients is influenced by the comorbidities they have. One of the comorbidities is diabetes. Increasing blood viscosity and severe inflammation occur in the body of COVID-19 patients. Meanwhile, problems such as coagulation factors, body blood flow, disorders of the nerves, lowering the immune response also occur in diabetic patients and etc. One of the complications of diabetes that often occurs is diabetic foot ulcers. The wound will be aggravated by a bacterial infection, such as hemolytic Streptococcus. Delay in diabetic ulcer treatment increases the incidence of amputation, sepsis and death. One of the therapies for diabetic foot ulcer is negative pressure wound therapy (NPWT). NPWT has a higher total cure rate, shorter healing time, and fewer amputations. If the wound is large, it can be continued with Split-Thickness skin graft (STSGs).
CASE REPORT: A-54-year-old male patient, moderately confirmed COVID 19 with diabetes Mellitus comorbidty and diabetic foot ulcer. Around the wound there was a black tissue the base of which were muscles and tendons. The tissue culture examination found hemolytic streptococcus bacteria. Diabetic ulcers are given antibiotic therapy, NPWT and STSG. After the patient had been discharged from the hospital and then examined by the surgical clinic, the wound was closed completely.
CONCLUSION: Diabetes is also a comorbid COVID-19 infection. Patients who are infected with COVID-19 and have uncontrolled blood sugar will prolong the treatment period for diabetic foot ulcers and can improve amputation therapy. Negative-Pressure Wound Therapy (NPWT) is a tool that is often and effective used for wound management.
Keywords covid, diabetic Foot, ulcer