Negligent glycemic control and clinical decision-making concerns: A case report on the progression of a simple hand wound to cellulitis

Abstract

Diabetes Mellitus is recognized for its increased vulnerability to infections, notably cellulitis. This report presents a case of a 35-year-old male with a history of type 2 diabetes since 2020. Following a minor bike accident, the patient's wound culminated in cellulitis due to unmanaged diabetes and possible medical oversight. Initially treated with tetanus toxoid and dusting powder, the wound was exacerbated after a week, revealing pus and substantial swelling. Despite medical consultation, the absence of antibiotics led to a progression in symptoms and hospital admission. Elevated blood sugar levels were evident with an HbA1c of 8.5%. Subsequent therapeutic interventions, including incisional drainage and intensive antibiotic therapy, led to stabilization. This case underscores the importance of vigilant wound management and therapeutic intervention in diabetic patients, emphasizing timely antibiotic administration to prevent complications.

Keywords

• diabetes mellitus
• cellulitis
• HbA1c
• piperacillin and tazobactam

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