This report describes a rare case of bilateral foot burns in a 61-year-old man following a religious firewalking ceremony, an event scarcely documented in the literature. The patient presented with multiple painful foot blisters and ulcers 2 days after the ceremony, accompanied by marked discomfort and impaired mobility. On examination, the right foot showed a large deroofed blister with mild slough, whereas the left foot had an intact, tense bleb. The primary diagnosis was bilateral foot burns complicated by diabetes mellitus. Management included deroofing and dressing the right foot blister, while the left foot blister was aspirated, enabling a direct comparison of two treatment strategies within the same patient. Glycemic control was optimized by adjusting insulin dosages, and wound care was tailored to the clinical condition of each foot. Early multidisciplinary consultation guided infection monitoring and pressure offloading. The outcomes underscored the challenges of burn management in diabetic patients, particularly with regard to delayed wound healing and heightened infection risk. This case highlights the importance of individualized burn blister management and the methodological value of comparing deroofing versus aspiration in a controlled clinical context. The key implication is the need for further research to establish best practices for burn care in high-risk populations, especially following unusual injury mechanisms such as firewalking.

Renal transplant recipients are prone to urological complications, the most common of which is stricture of the transplant ureter. We present a rare case of complete ureteric stricture in a 37-year-old man who had undergone spousal living donor kidney transplantation with ABO incompatibility. Initially, treatment involved creating an anastomosis between the native right ureter and the renal pelvis of the transplanted kidney.However, the stricture recurred. Subsequently, the patient was successfully treated with inferior polar nephrectomy and vesicocalicostomy, which entailed anastomosing the lower calyx of the transplanted kidney to the bladder. After 7 months of follow-up, the patient continued to exhibit stable renal function without stricture recurrence.

Background: Complete peroneal nerve dysfunction associated with congenital clubfoot is uncommonly reported. Our retrospective study highlights the recognition of clinical presentation and mid-term outcomes of treatment in these patients. Methods: Eight out of 658 patients undergoing treatment for clubfoot were identified with unilateral complete peroneal nerve dysfunction associated with congenital clubfoot. Three patients presented primarily to our center; 5 were treated elsewhere initially.All patients were treated with Ponseti casts, Achilles tenotomy, and subsequent foot abduction bracing. Diagnosis of complete peroneal nerve dysfunction was confirmed using nerve conduction velocity studies in all patients. After full-time bracing, an insole polythene molded ankle foot orthosis was given. Three patients underwent tibialis posterior transfer to improve foot dorsiflexor power. Results: The mean age at presentation was 1.3 years (range, 1 week–5 years). All patients had prominence of lateral 3 metatarsal heads and dimpling of intermetatarsal spaces. At a mean follow-up of 5.1 years, mean shortening of 1.2 cm in tibia (range, 1–2.5 cm) and mean calf wasting of 4.4 cm were observed. There was no relapse of any clubfoot deformity till the final follow-up. Conclusions Prominence of lateral metatarsal heads and dimpling of intermetatarsal spaces should raise early suspicion of peroneal nerve dysfunction. Standard Ponseti protocol is useful in treatment of these patients. Tibialis posterior transfer to dorsum partially restores the ankle dorsiflexion.