Endocrine Abstracts

Introduction: The diabetic patient is vulnerable to infection compared to the general population. This is due to the deleterious effect of hyperglycemia on the basis of chemotaxis, phagocytosis and bactericide neutrophils → What weakens the defenses of the diabetic person to infections. Infections of the upper limb in diabetics are not uncommon, and are often characterized by severity and often unfavorable developments. The objective of this work: determine the prevalence, clinical and therapeutic characteristics of the infection of the upper limb in diabetics.

Matériels et méthodes: Study including 32 patients seen in the emergency. The parameters: epidemiological characteristics âge, sex, weight, size, marital status, housing environment, origin, nature of the work, the pets, Characteristics of the diabetes: type, age of the beginning, evolution, treatment, glycemic balance, the follow-up. Characteristics of the lesions: type, Seat, the mechanisms, bacteriological sample. Deadline between the consultation and the appearance of the lesions. Management emergency: medical treatement, surgical care.

Discussion: At our patients, the hurts were grave and spread, this can give some explanation by the delay of the consultation been understandable by the educational lack and by the particularly vulnerable fragile ground to the infections seen the diabetes. The diabetes was discovered on the occasion of the lesions of the upper limb in 18% of the cases, during the evolution, in spite of the institution of a local treatment and an antibiotic treatment, a locol extension regional and sometimes general of the infection drove to make an amputation in 25% of the cases for saving of the patient.