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Cooney and Cooney International Journal of Emergency Medicine 2011, 4:14 http://www.intjem.com/content/4/1/14 CASE REPORT Open Access Gas gangrene and osteomyelitis of the foot in a diabetic patient treated with tea tree oil Derek R Cooney* and Norma L Cooney Abstract Diabetic foot wounds represent a class of chronic non-healing wounds that can lead to the development of soft tissue infections and osteomyelitis. We reviewed the case of a 44-year-old female with a diabetic foot wound who developed gas gangrene while treating her wound with tea tree oil, a naturally derived antibiotic agent. This case report includes images that represent clinical examination and x-ray findings of a. | Cooney and Cooney International Journal of Emergency Medicine 2011 4 14 http www.intjem.eom content 4 1 14 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Gas gangrene and osteomyelitis of the foot in a diabetic patient treated with tea tree oil Derek R Cooney and Norma L Cooney Abstract Diabetic foot wounds represent a class of chronic non-healing wounds that can lead to the development of soft tissue infections and osteomyelitis. We reviewed the case of a 44-year-old female with a diabetic foot wound who developed gas gangrene while treating her wound with tea tree oil a naturally derived antibiotic agent. This case report includes images that represent clinical examination and x-ray findings of a patient who required broadspectrum antibiotics and emergent surgical consultation. Emergency Department ED detection of these complications may prevent loss of life or limb in these patients. Background The lifetime incidence of diabetic foot ulcers may be as high as 25 1 however gas gangrene is not common in these patients. The most common causative organism in gas gangrene is Clostridium perfringens 2 . It is also important to rule out underlying osteomyelitis. In patients with diabetic foot ulcers Streptococcus group A Staphlococcus aureus and Pseudomonas may be present. If surgical debridement and antibiotics are not effective amputation may be required. Tea tree oil the essential oil of Melaleuca alternifolia is a commonly available naturally derived topical antiseptic. Tea tree oil is known to possess antibiotic activity toward a broad spectrum of pathogens including methicillin-resistant Staphylococcus aureus MRSA and Candida albicans 3 . Case Presentation A 44-year-old female with a history of diabetes presented to the Emergency Department complaining of increased right foot pain for 3-4 days with redness and swelling. She had been applying tea tree oil to the wound. Her vital signs were blood pressure 91 50 heart .
