German Tourist’s Foot Amputated After Sea Urchin Sting Reveals Chronic Illness: A Warning of Undiagnosed Diabetes

2024-05-13 14:00:00

After being stung by a sea urchin, a German tourist had his foot amputated due to necrosis. A few days later, he discovered that he had a chronic illness.

It all starts with a rather trivial incident. A tourist on holiday in Zanzibar steps on a sea urchin and has to go to hospital. Doctors remove the thorns and treat his wounds. In the absence of symptoms, specialists only administer antibiotics. But a few weeks later the situation worsened : “Seventeen days following the accident, the patient was seen once more in the hospital’s emergency department. The doctors notice that the right foot is swollen and red, but not painful. reports the study of this case, published in the scientific journal Univadis. These three toes are also necrotic. Faced with this situation, the doctors decide to make a new diagnosis and end up discovering it the patient suffers from type 2 diabetes which he was not aware of. As a result, the patient underwent surgery and had his toes amputated.

Sea urchin stings cause inflammation

The authors of the publication also emphasize that these injuries that reveal this type of diagnosis are “a rare thing”. “The painless development of the sixty-year-old’s gangrene proves that he must have developed significant diabetic neuropathy during the phase of prediabetes or undiagnosed diabetes without realizing it,” specify the surgeons. In fact, the authors explain it this type of foot necrosis occurs most often in people who already suffer from type 2 diabetes. However, they nevertheless warn regarding the consequences of these bites on individuals: ” wounds caused by sea urchins are painful and above all dangerous because the spine is colonized by bacteria and can cause acute and chronic inflammation. Toxins can promote development of local necrosis. The remaining thorns can cause arthritis and foreign body granulomas“.

What is diabetes?

Diabetes is a chronic disease manifested by excess sugar in the blood. There are two types of diabetes: type 1 and type 2. Type 1 diabetes usually occurs in children, adolescents and young adults. It is characterized by the inability of the pancreas to produce enough insulin. However, insulin is essential because it helps cells absorb sugar from the blood to produce energy. In the absence of adequate insulin production, sugar builds up in the blood, which quickly leads to hyperglycaemia. This can therefore lead to various adverse health effects such as long-term damage to organs such as the eyes, kidneys and heart. Type 2 diabetes, on the other hand, is characterized by poor use of insulin by the body’s cells. Unlike type 1, the development is insidious and happens very gradually, often over many years. This form of diabetes is usually due to a combination of genetic and lifestyle factors.
To treat diabetes (types 1 and 2), Patients use insulin-based treatments and must adapt their lifestyle, both on a dietary level and on a physical level, by exercising regularly.

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