Question

A 59-year-old with diabetic foot infection after toe ulcer has suspected osteomyelitis on MRI. Empiric therapy is started. What surgical principle applies?

Accepted Answer

Early surgical consultation for debridement/drainage of deep infection

Answer

Avoid surgery; antibiotics alone always suffice

Answer

Amputation is mandatory for all osteomyelitis

Answer

Delay debridement until antibiotic course completes

Answer

Debridement only if cultures negative

Practice question

A 59-year-old with diabetic foot infection after toe ulcer has suspected osteomyelitis on MRI. Empiric therapy is started. What surgical principle applies?