Rat bite as a cause of diabetic foot ulcer in sub‐Saharan Africa

There have been relatively few reports of foot ulcers in diabetes resulting from rat bite. The findings were derived from people attending a single specialist service in Dar es Salaam for diabetic foot ulcers (DFUs) between 1 January 1999 and 31 December 2016. Details from people presenting for the...

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Bibliographic Details
Published in:International wound journal 2020-08, Vol.17 (4), p.897-899
Main Authors: Abbas, Zulfiqarali G., Lutale, Janet K., Archibald, Lennox K., Jeffcoate, William J.
Format: Article
Language:English
Subjects:
Africa, diabetic foot ulcer, infection, neuropathy
Original
Rat bite
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Summary:There have been relatively few reports of foot ulcers in diabetes resulting from rat bite. The findings were derived from people attending a single specialist service in Dar es Salaam for diabetic foot ulcers (DFUs) between 1 January 1999 and 31 December 2016. Details from people presenting for the first time with an ulcer judged to be caused by rat bite were compared with those with from other causes of foot ulcer. There were 426 first recorded foot ulcer episodes (in 179 people) judged to be caused by rat bite. The affected population was significantly younger (mean 55.9 vs 57.5 years, P = .037) and had a lower body mass index (26.5 vs 27.9, P = .008) than controls with other types of foot ulcer. They also presented significantly sooner (7.8 vs 18.2 days, P 
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.13346