BMJ Case Reports 2013; doi:10.1136/bcr-2012-007299

The use of an extract of Hypericum perforatum and Azadirachta indica in advanced diabetic foot: an unexpected outcome

  1. Maria Letizia Iabichella
  1. Department of Angiology, Barbantini Clinic, Lucca, Italy
  1. Correspondence to Dr Maria Letizia Iabichella, ml.iabichella{at}


This is the first case reporting the results of using an extract of Hypericum flowers (Hypericum perforatum) and neem oil (Azadirachta indica) in foot wounds with exposed bone in a patient with bilateral advanced diabetic ulcers. The effective use of this cheap treatment in patients with diabetic lesions on the feet, if confirmed in a wide controlled study, might allow the caregivers to take care of patients at home.

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