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Case Reports in Medicine
Volume 2010 (2010), Article ID 149591, 4 pages
http://dx.doi.org/10.1155/2010/149591
Case Report

Prolonged Use of Ertapenem to Treat Infected Diabetic Foot Ulcers

Department of Microbiology, North Middlesex Hospital, Stirling Way, Edmonton, London N18 1QX, UK

Received 24 July 2010; Revised 12 September 2010; Accepted 13 September 2010

Academic Editor: Anthony W. Chow

Copyright © 2010 Ashwin Algudkar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present the case of a diabetic man who was successfully treated with ertapenem for over 4 months for severe infection of his foot ulcers. After initial unsuccessful treatment with empirical intravenous antibiotics, ertapenem was started on microbiology advice and led to a marked improvement in the soft-tissue infection. Ertapenem was continued for a total of 137 days under close clinical and biochemical monitoring and produced a complete resolution of the foot infection. This is the first documented case that we know of in which ertapenem has been safely used for this duration of time.