التفاصيل البيبلوغرافية
| العنوان: |
Streptococcus milleri Group Cutaneous Abscess Associated With Insulin Injection to Distal Lower Extremity in an Insulin-Dependent Diabetic Man. |
| المؤلفون: |
Kerr, Kevin J., Fugit, Randolph V. |
| المصدر: |
Hospital Pharmacy; Oct2012, Vol. 47 Issue 10, p783-787, 5p |
| مصطلحات موضوعية: |
DIABETES complications, INFECTION prevention, STREPTOCOCCAL disease diagnosis, ABSCESS treatment, ABSCESSES, TREATMENT of diabetes, TYPE 1 diabetes, BACTERIAL diseases, HOSPITAL emergency services, INJECTIONS, INSULIN, LEG, PHARMACOLOGY, STREPTOCOCCUS, BODY mass index, DIAGNOSIS |
| مستخلص: |
Purpose: We report a case of Streptococcus milleri group (SMG)-associated cutaneous abscess in an older diabetic man. The infection developed after subcutaneous insulin injection to the distal lower extremity. This is the first known account of SMG-associated abscess secondary to insulin administration.Summary: A 60-year-old Caucasian insulin-dependent diabetic male developed a severe cutaneous infection including abscess and surrounding cellulitis at the site of a self-administered insulin glargine injection on the medial portion of his right lower leg. The infection developed rapidly within 1 day following the injection. Cultures from purulent drainage were positive for SMG. The infection resolved rapidly with an antibiotic regimen including 1 dose of clindamycin followed by intravenous pipercillin/tazobactam plus vancomycin and concluded with outpatient treatment with sulfamethoxazole/trimethoprim. Organisms belonging to SMG are increasingly recognized as pyogenic pathogens responsible, most commonly, for abscess infections. SMG infections have been reported in diabetics; however, this is the first known case of SMG-associated abscess secondary to subcutaneous insulin administration.Conclusion: A 60-year-old diabetic male experienced a severe SMG-associated abscess in the distal lower extremity after self-injection with insulin glargine. The infection resolved rapidly with intravenous and oral antibiotics. Clinicians should be aware of the potential for abscess infection from SMG at insulin injection sites. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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