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Paper Title: Multi-drug resistant Tuberculosis in a Diabetic with below knee amputation - A Case Study

Authors: Iwunze E.C, Iwunze C.I.K

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Multi-drug resistant tuberculosis and diabetes mellitus form a lethal partnership, with each multiplying the
morbidity associated with the other.

This is to report a case of multi-drug resistance tuberculosis with background uncontrolled diabetes mellitus in a patient with below
knee amputation for diabetic foot gangrene.

A good glycaemic control is crucial in preventing immunosuppression which is a precursor to MDR-TB especially in
the background of default from anti-tuberculous therapy. Additionally, poor glycaemic control leads to diabetic complications which can
result in non-healing ulcers and gangrene necessitating limb amputation as in the index patient.

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