Hand sepsis in patients with diabetes mellitus.
| Autor: | Ahmed ME; Jabir Abueliz Diabetic Centre, University of Khartoum, Khartoum, Sudan. rasheid@usa.net, Mahmoud SM, Mahadi SI, Widatalla AH, Shawir MA, Ahmed ME |
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| Jazyk: | angličtina |
| Zdroj: | Saudi medical journal [Saudi Med J] 2009 Nov; Vol. 30 (11), pp. 1454-8. |
| Abstrakt: | Objective: To report on the clinical presentation and possible risk factors leading to hand sepsis, amputation, management, and outcome in diabetic patients presenting to a multidisciplinary diabetic center in Khartoum, Sudan. Methods: This is a retrospective descriptive study of all diabetic patients presenting with hand sepsis between September 2002 and March 2008 to Jabir Abueliz Diabetic Centre (JADC) in Khartoum, Sudan. Results: A hundred and nineteen diabetic patients with hand sepsis were managed in JADC. The causative agent was unknown in 48.7%, and due to trauma in 42.9%. The most common presentation was cellulitis in 36.1% of patients and deep seated abscess in 29.5%. In 22.7% there was significant sensory neuropathy with loss of perception to 10 gm monofilament nylon. An associated foot ulcer was present in 13.4% of patients. One or more digits amputation was carried out in 17 (14.3%) of patients and hand amputation was unavoidable in 2 (1.7%). Complete healing with good function was achieved in 79%. There was no mortality in this series. Conclusion: Hand sepsis in diabetics is a serious complication, but with early presentation to a specialized diabetic care facility, satisfactory outcome could be achieved. |
| Databáze: | MEDLINE |
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