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Soft-Tissue Abscesses in a Diabetic PatientLocalization by Gallium Citrate Ga 67 Scanning and Sonography
John L. Floyd, MD;
Edward L. Goodman, MD
JAMA. 1981;246(6):675-676.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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DIABETIC patients are believed to be at increased risk for bacterial infections. The proposed mechanisms include the deleterious effects of hyperglycemia and acidosis on polymorphonuclear function.1 Insulin-dependent diabetics are continually exposed to violation of their skin by needles and may thus have an even higher risk of infection. In addition, insulin-dependent diabetics, along with parenteral drug abusers and patients receiving hemodialysis, have an increased carrier rate for Staphylococcus aureus.2 These latter two factors may help explain the increased susceptibility to staphylococcal infections in insulin-dependent diabetics.
Gallium citrate Ga 67 scanning and ultrasound3 techniques have gained widespread recognition in the evaluation of intra-abdominal and pelvic abscesses. We report a case that demonstrates another use of the gallium scan and sonogram—the evaluation of soft-tissue infections of the extremities.
Report of a Case
A 55-year-old man was admitted to Presbyterian Hospital, Dallas, on July 17, 1980, with a five-day history
. . . [Full Text PDF of this Article]
Author Affiliations
From the Nuclear Medicine Service (Dr Floyd) and the Infectious Disease Service (Dr Goodman), Department of Internal Medicine, Presbyterian Hospital of Dallas, and University of Texas Health Science Center, Dallas.
Footnotes
Reprint requests to 8200 Walnut Hill Lane, Dallas, TX 75231 (Dr Floyd).
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