Case report


Ivonne Jiménez Rojas


Context: The complications of Diabetes Mellitus can lead patients to suffer a series of important injuries that can end in amputations of the affected limbs.

Objectives: To demonstrate the acceleration in the healing of lesions caused by diabetic foot with the complementary use of ozone therapy, through a case report.

Methodology: An 80-year-old male patient, diabetic with 12 years of evolution, who presented an injury to his right foot due to a wound with a sharp object (nail) that penetrated the sole of the foot at the level of the metatarsal and crossed to the anterior face of the foot. He was determined as a candidate for ozone therapy. A simple plate of the right foot and laboratory studies were required. He presented an ulcerative lesion in the anterior region of the foot and a fistula originating from the sole of the foot, in the region of the ulcer. Tunneling towards the middle finger, significant edema and hyperemic area of the entire foot, as well as pain, bad smell and purulent secretion were observed at the beginning of treatment. It was classified as grade II diabetic foot according to the Wagner scale. Ozonized saline solution was applied i.v., 5 sessions every 24 h, and later 2 weekly sessions until completing 10 sessions.

Results: With the application of the treatment with an oxygen-ozone mixture, the time of evolution towards the cure of the diabetic foot was shortened, as well as the complications of the disease, in addition to normalizing its blood glucose levels, which is why He completely modified his medical management to control the diabetes he had had for 12 years with the use of intermediate and rapid insulin.

Discussion: Once again, the power of ozone therapy as a powerful germicide for infection control, in addition to its anti-inflammatory and healing effects, was demonstrated.

Conclusions: The application of the ozonated saline solution shortened the patient’s recovery time, thus avoiding the complications of the injury that could lead to amputation of the affected limb.


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