Abstract

ALONSO, MN et al. Storm «Philomena»: trench foot in peacetime in Spain. Sanid. Mil. [online]. 2022, vol.78, n.4, pp.253-257.  Epub June 26, 2023. ISSN 1887-8571.  https://dx.doi.org/10.4321/s1887-85712022000400008.

Trench foot is considered the most common non-combat related military injury and we have known of its existance since Napoleon’s time. However, this vasoneuropathy remains a poorly understood condition and, therefore, a diagnostic challenge. With the report of 2 clinical cases treated in our hospital during Filomena storm, which occurred in Spain in January 2021, with Madrid as one of the most affected areas, we intend to contribute a little more knowledge, in order to improve cases identification and the correct management that, surely will improve our patients prognosis, without forgetting preventive measures. In our experience, a rigorous diagnostic study (vascular and electroneurophysiological) and a vasodilatador treatment with sciatic popliteal block, 5-phosphodiesterase inhibitors and dihydropyridine calcium antagonists have been decisive.

Keywords : trench foot; disaster medicine; vasculitis; neuropathy; nerve conduction study; vasodilators.

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