A 61-year-old man with diabetes presents with fever and severe right foot pain. The skin looks mildly erythematous, but pain is disproportionate.

Question

A 61-year-old man with diabetes presents with fever and severe right foot pain. The skin looks mildly erythematous, but pain is disproportionate. Sodium is 128 mmol/L, creatinine is 162 µmol/L, lactate is 4.2 mmol/L and radiograph shows soft-tissue gas. What is the most likely diagnosis?

Accepted Answer

Necrotising soft-tissue infection

Answer

Uncomplicated cellulitis

Answer

Venous stasis dermatitis

Answer

Plantar fasciitis

Answer

Gout flare

Necrotising soft-tissue infection — RCPSC EM MCQ

A 61-year-old man with diabetes presents with fever and severe right foot pain. The skin looks mildly erythematous, but pain is disproportionate. Sodium is 128 mmol/L, creatinine is 162 µmol/L, lactate is 4.2 mmol/L and radiograph shows soft-tissue gas. What is the most likely diagnosis?