system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 63-year-old woman is brought to the emergency department by one of her neighbors because of fever and confusion. She has a 10-year history of diabetes mellitus and hemorrhoids. Her medications include insulin and metformin. Her blood pressure is 90/70 mm Hg, the pulse is 115/min, the respirations are 21/min, and the temperature is 39.5℃ (103.1℉). The cardiopulmonary examination shows no other abnormalities. The serum creatinine level is 2.5 mg/dL. An MRI shows swelling of subcutaneous soft tissue and gas. She is resuscitated with IV fluids. Broad-spectrum empiric IV antibiotics are administered. Which of the following is the most appropriate next step in management?
assistant
Surgical debridement