Klebsiella in the Wound: The Capsule Cancer Threat to Diabetic Feet

This episode of Diabetic Foot Files focuses on Klebsiella pneumoniae as an emerging and dangerous pathogen in diabetic foot ulcers, highlighting its capsule, biofilm formation, and rising antimicrobial resistance. It covers clinical presentation, the importance of deep tissue cultures, diagnostic tips, and a three-pronged treatment approach: source control (debridement), mechanical offloading, and targeted antimicrobial therapy with infectious disease involvement for ESBL or carbapenem-resistant strains. The episode also reviews prevention strategies, the role of vascular assessment, and current research directions including anti-biofilm approaches and adjunctive therapies.

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