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Immersion Foot: A Case Report
Zachary Olson1, Nicholas Kman2
1The Ohio State University College of Medicine, Columbus, Ohio.
The Journal of Emergency Medicine
|May 26, 2015
Summary
Trench foot, or immersion foot, is an injury from prolonged exposure to wet and cold conditions. Emergency physicians must recognize trench foot, as its treatment differs from other cold-related injuries.
Area of Science:
- Medical Case Reports
- Emergency Medicine
- Dermatology
Background:
- Immersion foot, or trench foot, historically noted in military contexts, is increasingly relevant in emergency department (ED) settings.
- The condition is underrepresented in emergency medicine literature, necessitating greater physician awareness.
- Understanding trench foot is crucial for effective patient management in diverse clinical environments.
Observation:
- A case report details a homeless patient with schizophrenia presenting to the ED with immersion foot during winter.
- Visual documentation aids in recognizing the clinical presentation of trench foot.
- Patients with risk factors for trench foot are commonly seen in emergency departments.
Findings:
- Immersion foot can be overlooked due to physician unfamiliarity, especially in patients exposed to damp conditions.
- Prompt diagnosis is essential as trench foot requires distinct treatment protocols compared to other cold injuries.
- Early recognition and appropriate management are key to preventing complications.
Implications:
- Emergency physicians need to be aware of trench foot's distinct pathophysiology and treatment.
- This case highlights the importance of considering trench foot in vulnerable populations presenting with extremity complaints.
- Improved awareness and diagnostic skills can lead to better outcomes for patients with immersion foot.

