A 68-year-old man with well controlled type 2 diabetes presented to the GATA Haydarpasa Teaching Hospital with a swollen red toe (figure A). He had a longstanding plantar ulcer on his first metatarsal. Examination of his foot revealed complete loss of sensation, although pulse palpation and Doppler ultrasound findings were normal. Findings did not suggest a systemic infection or metabolic instability. Serum C-reactive protein (CRP) concentration (111 mg/L) and erythrocyte sedimentation rate (ESR; 89 mm/h) were very high, and plain radiographs showed disrupted cortex and lytic lesions of the first proximal phalanx and metatarsal head (figure E).

中文翻译：

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糖尿病足骨髓炎的非手术治疗

一名68岁的2型糖尿病患者得到了很好的控制，他的红脚趾肿胀出现在GATA Haydarpasa教学医院（图A）。他的第一个first骨患有长期的足底溃疡。尽管脉搏触诊和多普勒超声检查结果正常，但他的脚检查发现感觉完全丧失。研究结果并未提示全身感染或代谢不稳定。血清C反应蛋白（CRP）浓度（111 mg / L）和红细胞沉降率（ESR; 89 mm / h）非常高，普通X线照片显示第一个近端指骨和meta骨头的皮质和溶解性病变破裂（图E）。