Title

Diabetic hand infections

Document Type

Journal Article

Publication Date

11-28-1998

Journal

Hand Clinics

Volume

14

Issue

4

Abstract

Hand infections are more common and more severe in diabetics than in the general population. Mixed-organism and gram-negative infections are encountered more frequently, the need for repeat surgeries is more likely, and amputation (partial or complete) is a common outcome. Early and adequate surgery is essential. Although most diabetic hand infections also are encountered in nondiabetics, there are certain clinical features or infection types that suggest the presence of diabetes mellitus. Certain hand infections are unique to diabetics and require special treatment considerations. The worst prognosis applies to those diabetic patients with concomitant chronic renal failure requiring dialysis or renal transplantation.

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