The patient is a 54-year-old farmer from a rural area near Coimbatore in Tamil Nadu. He had a diagnosis of diabetes mellitus 3 years ago, and he is taking oral hypoglycemic agents. Six months ago he developed swelling and itching of his left lower limb, and when he scratched hard, several ulcers developed.
In matter of days, the ulcers became large, and the entire limb was foul smelling. He was admitted in another hospital. After a few debridements, they decided to amputate the lower limb. Since he was not willing to allow amputation, he came for a trial of treatment with vacuum therapy after one of the visitors had suggested the treatment.
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