Ulcus tropicum
Last Updated: 2021-10-15
ICD11: -
Last Updated: 2021-10-15
Author(s): Anzengruber F., Navarini A.
ICD11: -
Desert ulcer, tropical ulcer, tropical ulcer, tropical phagedena.
Special form of Ecthymata.
A disease that occurs particularly in the tropics.
Predisposing factors: malnutrition, especially with protein deficiency.
In addition, extremely pronounced scarring with dermatogenic contractures is described in the healing process, which requires amputations.
Bacterial smear
Especially distal lower legs.
Recurrences are possible.
Systemic Therapy
PenicillinG i.v. 4 million IU 6x daily.
PenicillinV p.o. 3x daily 0.4-1.2 million IU (adults), 0.2-0.6 million IU 1x daily (infants) for about 10 days.
Erythromycin p.o. 500 mg 3x daily, maximum dose: 4 g/d (adults), 40-100 mg/kg
Gentamicin intravenously 5 mg/kg bw
Ciprofloxacin p.o 500 mg 2x daily.
Topical Therapy
Surgical intervention, if necessary.
Adequate nutrition.
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