A 58 year old female with...

A 58-year-old female patient presented to the emergency department at the hospital with a chief complaint of fever since morning, loss of consciousness for the past 2 hours, and left foot cellulitis measuring 8*5 cm with gangrenous tissue above the ankle on the lateral aspect. Her RBS level is 34 mg/dl, and she has a known history of diabetes mellitus type II and hypertension for the past 8 years, with regular medication. The patient underwent debridement for right leg cellulitis 2 days ago. At the time of admission, the patient's vital signs were recorded as follows: temperature - 101°F, pulse - 88/min, BP - 116/70 mmHg, and spo2 - 98% on room air. On examination, the left lateral foot exhibited gangrene with bleeding just above the ankle, and local temperature was elevated. Systemic examinations, including CVS, RS, and abdominal (PA), revealed no abnormalities. The patient received immediate treatment with Inj. D 25% 1 pint intravenously, leading to a regained state of consciousness and orientation. Blood investigations indicated sodium (Na) level of 126 mEq/L, potassium (K) - 3.21 mEq/L, chloride (Cl) - 86.50 mEq/L, creatinine - 1.11 mg/dl, hemoglobin (HB) - 8.7 gm%, total leukocyte count (TLC) - 14,540/cmm, and platelet count - 4,40,000/cmm.