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9054

Assessment Of C-Reactive Protein And Macrophage Migration Inhibitory Factor In Diabetic Foot Infection

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Endemic medicine
Infectious diseases

Abstract

Background and study aim: : Diabetic foot ulcer is a universal health problem. Neuroischemic changes and infection are responsible for its occurrence and complications. Altered or complete loss of sensation and microvascular disease complicated by unchecked infection can precipitate tissue necrosis and gangrene. A threat for a rapid test predicting early infected foot ulcer emerges. C-reactive protein (CRP) and macrophage migration inhibitory factor (MIF) are involved in innate inflammatory response. We aimed at evaluation of the ability of C-reactive protein and macrophage migration inhibitory factor to differentiate between early infected and non infected diabetic foot ulcers and to detect risk factors of diabetic foot ulceration. Patients and methods: : 52 diabetic patients were selected, examined and classified into 3 groups : Group (I): Included 12 patients with non-infected diabetic foot ulcer (grade І), group (П): Included 30 patients with mildly infected diabetic foot ulcer (grade П) and group (ПI): Included 11 diabetic patients free from foot wounds used as a control group. In addition to routine laboratory investigations, serum CRP was measured using. Enhanced Immuno-tubidimetric Assay. MIF level was detected by ELISA. Swabs from the diabetic foot ulcers were taken for aerobic and anaerobic cultures. Results : Statistically significantly elevated Hb A1C%, MIF and CRP levels were detected in mild infected diabetic foot ulcer compared to studied groups (P <0.05). Dermatological changes were statistically significant risk factors for diabetic foot ulcers, accounted for 88.1% of ulcer cases. The most frequently isolated organism was E coli. The most common site for ulcers was the toes representing 50% of the cases. Conclusion : CRP and MIF can differentiate early infected from non-infected diabetic foot ulcers.

DOI

10.21608/aeji.2011.9054

Keywords

C-reactive protein, diabetic foot ulcer, Macrophage Migration Inhibitory Factor

Authors

First Name

Mohamed

Last Name

Ahmed

MiddleName

R

Affiliation

Internal Medicine Department, Faculty of Medicine, Zagazig University,Egypt

Email

-

City

-

Orcid

-

First Name

Gehan

Last Name

Ibrahim

MiddleName

A

Affiliation

Internal Medicine Department, Faculty of Medicine, Zagazig University,Egypt

Email

-

City

-

Orcid

-

First Name

Hoda

Last Name

Bakr

MiddleName

G

Affiliation

Internal Medicine Department, Faculty of Medicine, Zagazig University,Egypt

Email

ameer_10100@yahoo.com

City

-

Orcid

-

First Name

Takwa

Last Name

Meawed

MiddleName

E

Affiliation

Microbiology and Immunology Department, Faculty of Medicine, Zagazig University,Egypt

Email

-

City

-

Orcid

-

Volume

1

Article Issue

2

Related Issue

1772

Issue Date

2011-12-01

Receive Date

2011-07-20

Publish Date

2011-12-01

Page Start

19

Page End

27

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_9054.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=9054

Order

1

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023