Diabetes Research and Clinical Practice
Volume 39, Issue 2 , Pages 123-128, February 1998

Unusual infections in diabetes

  • S.M Rajbhandari

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel: +44 114 2712912; fax: +44 114 2713915; e-mail: mdp95smr@sheffield.ac.uk
  • ,
  • R.M Wilson

Diabetes Centre, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK

Received 18 July 1997; received in revised form 20 November 1997; accepted 7 December 1997.

Abstract 

Infection with rare organisms or at unusual sites occur more frequently in people with diabetes. If not recognised and treated promptly, morbidity and mortality are high in such cases. Here we report cases of necrotising fascitis, malignant otitis externa, Fournier's gangrene and psoas abscess occurring in diabetics that needed intensive treatment with antibiotics, surgical debridement and insulin. Literature reviews suggest that cellular defence mechanisms may be impaired in people with diabetes.

Keywords:  Diabetes mellitus, Infection, Malignant otitis externa, Necrotising-fascitis, Psoas abscess, Fournier's gangrene

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PII: S0168-8227(97)00125-3

Diabetes Research and Clinical Practice
Volume 39, Issue 2 , Pages 123-128, February 1998