Title: Bacterial Infections in Unusual Sites in the Setting of Poor Glycaemic Control - Case Reports
Authors: Nkpozi MO, Uche CL
People living with diabetes are prone to bacterial infections; this susceptibility occurs because diabetes mellitus (DM) is associated with atherosclerotic vascular disease, sensory dysfunction and hyperglycaemia. Skin surface over the foot is, particularly, at risk, leading to foot ulcer.
The objective of this report is to draw attention to bacterial infections at unusual sites and their sequelae in persons living with diabetes with poor glycaemic control. Two such cases were seen and managed at different times at Abia State University Teaching Hospital, (ABSUTH), Aba, Nigeria. One who had a huge back abscess was successfully managed while the second person with DKA precipitated by acute fulminant cholecystitis did not make it. A back abscess in a patient with DM is either underreported in Nigeria or rare.
In conclusion, surgical interventions (incision and drainage (I &D), debridement and serial wound dressings or cholecystectomy), antibacterial therapy and optimal glycemic control with insulin are necessary to ensure a favourable outcome.
Keywords: diabetes mellitus, bacterial infections, unusual infection sites, back abscess, fulminant cholecystitis.