One case of severe subcutaneous soft tissue infection caused by nonstandard insulin injection
10.3760/cma.j.issn.1009-2587.2019.08.014
- VernacularTitle: 不规范注射胰岛素致严重皮下软组织感染一例
- Author:
Zhikang ZHU
1
;
Tingting WENG
;
Xingang WANG
;
Lizhu ZHI
;
Chaoheng YU
;
Zhenzhen ZHANG
;
Chunmao HAN
Author Information
1. Department of Burns, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
- Publication Type:Case Reports
- Keywords:
Diabetes mellitus;
Injections, subcutaneous;
Soft tissue infections;
Ultrasonography;
Early diagnosis
- From:
Chinese Journal of Burns
2019;35(8):619-621
- CountryChina
- Language:Chinese
-
Abstract:
On January 1st 2018, a male 44 years old diabetic patient with subcutaneous soft tissue infection in right thigh was admitted to our hospital. The patient repeatedly used the same needle to inject insulin subcutaneously in the unsterilized right thigh, and his blood glucose was badly controlled in the long term. Severe subcutaneous soft tissue infection of the right thigh occurred after his fatigue, accompanied with ketoacidosis. Then he received conservative treatment in the local hospital for one month, but the infection persisted. After being transferred to our hospital, we highly suspected the diagnosis of necrotizing fasciitis according to previous test indicators and local B-ultrasound results, but suggestion of aggressive surgery was refused. So we treated him with conservative therapies using sensitive antibiotics and supportive remedies. The patient was basically healed after treatment of 1 month and he was recovered well during the follow-up 2 months after discharged from our hospital. This case emphasizes the importance of standard injection of insulin and early diagnosis of severe subcutaneous soft tissue infection.
