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Cautionary tale for people with diabetes: Dog consumed part of a sleeping patient's toe
Date:6/23/2011

Van Nuys, CA June 23, 2011 In a case study that illustrates the need for people with diabetes to be cautious of foot injuries and to protect themselves from pets, a woman with numbness in her feet caused by diabetic neuropathy slept through a traumatic episode in which her Jack Russell terrier chewed off part of her slightly infected big toe, according to an article published in this month's issue of the Journal of the American Podiatric Medical Association.

The patient's wound required surgery, and it ultimately led the amputation of her leg, leaving her a double amputee.

The case study, co-authored by Valley Presbyterian Hospital specialist Lee C. Rogers, D.P.M., is only the second of its kind to be published in the medical literature, although more cases like it have been reported in the media. This case highlights the need for diabetic patients with neuropathy to avoid having their feet or wounds exposed when sleeping with their pets.

"Pets have a tendency to lick wounds, and that simple lick can turn into a bite, if there is no response from the owner. There have also been reports of dogs' saliva infecting diabetic patients with the antibiotic-resistant Superbug, MRSA, which can be deadly," Dr. Rogers said. "This case illustrates the perils of pet ownership in diabetic patients who have numbness in their hands or feet caused by neuropathy."

The Centers for Disease Control estimate diabetes affects 25.8 million Americansor 8.3 percent of the populationand report that it is the leading cause of non-traumatic amputations. In this case, the 48-year-old woman didn't feel any pain and only realized part of her toe was missing when she awakened in the morning and found blood in her bed and on the floor.

She was sleeping with her 2-year-old Jack Russell terrier and realized it must have chewed off part of the toe during the night because the dog had blood in its facial fur. Doctors amputated part of her toe an
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Contact: Norma O'Flaherty
norma.oflaherty@valleypres.org
818-902-5213
Valley Presbyterian Hospital
Source:Eurekalert

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