Left leg ischemia, a serious clinical condition involving insufficient blood flow to the limb and a great toe infection, is primarily caused by peripheral artery disease (PAD), atherosclerosis, acute thrombotic or embolic events, vasculitis, and trauma. The compromised blood supply impairs the body’s ability to fight off bacteria, leading to the great toe infection. Symptoms include severe pain, coldness, numbness, pallor, and diminished pulses. The great toe infection presents with redness, swelling, warmth, pain, purulent discharge, and potentially gangrene. In severe cases, resting pain may indicate critical limb ischemia. Diagnosis involves a thorough physical examination, imaging studies, blood tests, and tissue cultures from the infected toe. The severity of the infection is evaluated through blood tests, inflammatory markers, and tissue cultures from the infected toe.
Treatment for acute left leg ischemia with a great toe infection requires a multi-pronged approach to restore blood flow and combat infection. Immediate hospitalization is necessary. Revascularization, to restore blood flow, is paramount and may involve endovascular procedures like angioplasty and stenting or open surgical bypass, depending on the location and severity of the arterial blockage. Antibiotic therapy, often intravenous, is crucial to address the toe infection, with cultures guiding the choice of antibiotics. Surgical debridement, the removal of infected and necrotic tissue, is often necessary to prevent further spread of infection and promote healing. In severe cases of gangrene or extensive infection, amputation of the toe or even the limb may be required to prevent life-threatening sepsis.
Mrs. T. Karunamma from Hyderabad successfully underwent surgery for Left Lower Limb Acute Ischemia & Toe Infection at Yashoda Hospitals, Hyderabad, under the supervision of Dr. Ranjith Kumar Anandasu, Consultant Vascular and Endovascular Surgeon.