Doctors at the Central Endocrinology Hospital have received and treated a special case, patient L.V. V, 67 years old, in Hai Phong with a history of type 2 diabetes and high blood pressure lasting more than 12 years but treated irregularly.
The patient had a previous brain infarction leaving sequelae of weakness in the right half of the body, and also had a history of circulatory arrest due to myocardial infarction on the background of severe triarterial stenosis.
When admitted to the Intensive Care Unit, the patient developed many infectious ulcers in both feet. The ulcers were scattered, in some places deep, exposing muscles, the surface covered with pseudomembranes, the surrounding tissue was dark purple and lacked blood supply. The largest injury was in the left foot, about 8×9 cm.
The patient was diagnosed with severe diabetic foot ulcer (Wagner IV), accompanied by a high risk of peripheral blood vessel damage and widespread infection.
Despite active treatment with broad-spectrum antibiotics, blood sugar control, bandage replacement and necrotic tissue removal, the infection remained complicated. Tests showed increased white blood cells and inflammation index (CRP), while heart enzymes increased sharply, warning of progressive myocardial damage.
After that, the patient was found to be in a coma, cyanotic all over her body, blood pressure could not be measured and fell into a state of circulatory arrest.
The emergency team immediately performed advanced cardiopulmonary resuscitation, endotracheal intubation, multiple electric shock and use of vasopressors. After more than 2 hours of effort, the patient's heart became active again, but the patient was still in a deep coma, had to be ventilated and use high-dose cardiac drugs.
Inter-specialized consultation determined that the patient had acute myocardial infarction on the background of severe coronary artery stenosis, accompanied by diabetes, chronic kidney failure and progressive foot infection.
Doctors warn that type 2 diabetes, if not well controlled, can cause a series of dangerous complications, not only in the feet but also directly affecting the cardiovascular system, even threatening life.
This is a typical case of a long series of dangerous complications of diabetes but poorly controlled. The disease not only causes hyperglycemia but also silently destroys the blood vessel, nervous system and cardiovascular system.
Consequences may include foot ulcers, severe infections, myocardial infarction, cardiac shock, and death. Signs such as slow-healing wounds, discharge, darkening, or loss of sensation in the feet are early warnings of severe complications, with the risk of necrosis and amputation if not treated promptly.
