Value of white blood cell count with differential in the acute diabetic foot infection

David G Armstrong, Theresa A. Perales, Randall T. Murff, Gary W. Edelson, John G. Welchon

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

The authors reviewed the admission leukocyte indices of 338 consecutive admissions (203 males, 135 females, mean age of 60.2 ± 12.9 years) with a primary diagnosis of diabetic foot infection in a multicenter retrospective study. The mean white blood cell count on admission for all subjects studied was calculated at 11.9 ± 5.4 × 103 cells/mm3. Of all white blood cell counts secured for patients admitted with a diabetic foot infection, 56% (189 out of 338) were within normal limits. The average automated polymorphonuclear leukocyte percentage was calculated at 71.4 ± 11.1% (normal range 40% to 80%). Normal polymorphonuclear leukocyte values were present in 83.7% of subjects. The authors stress that the diagnosis of a diabetic pedal infection is made primarily on the basis of clinical signs and symptoms, and that a normal white cell count and white cell differential should not deter the physician from taking appropriate action to mitigate the propagation of a potentially limb-threatening pedal infection.

Original languageEnglish (US)
Pages (from-to)224-227
Number of pages4
JournalJournal of the American Podiatric Medical Association
Volume86
Issue number5
StatePublished - 1996
Externally publishedYes

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Diabetic Foot
Leukocyte Count
Infection
Neutrophils
Multicenter Studies
Signs and Symptoms
Foot
Reference Values
Leukocytes
Extremities
Retrospective Studies
Cell Count
Physicians

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Value of white blood cell count with differential in the acute diabetic foot infection. / Armstrong, David G; Perales, Theresa A.; Murff, Randall T.; Edelson, Gary W.; Welchon, John G.

In: Journal of the American Podiatric Medical Association, Vol. 86, No. 5, 1996, p. 224-227.

Research output: Contribution to journalArticle

Armstrong, David G ; Perales, Theresa A. ; Murff, Randall T. ; Edelson, Gary W. ; Welchon, John G. / Value of white blood cell count with differential in the acute diabetic foot infection. In: Journal of the American Podiatric Medical Association. 1996 ; Vol. 86, No. 5. pp. 224-227.
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