Cold case in hot environment
Dr.Akash 23 Jan 2020
Soldier posted in Srinagar came with B/L LL edema of 2 days and numbness itching pain redness. H/o trekking in snow with boots and socks drenched in cold water.O/E there was local swelling warmth tenderness decreased touch pain temperature with normal pulses.Labs revealed elevated CRP AST>ALT, CK. He was started on IV antibiotics, IV fluids, NSAIDS .TT was given.He showed improvement in clinical and lab parameters. With the history labs Trench foot was considered .It is caused by prolonged exposure to wet cold but non freezing condition (0-15C). It is a clinical diagnosis
Due to increased travel and significant population of malayalis in military, we may encounter such cases .
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