OBJECTIVE: To report on the clinical presentation and possible risk factors leading to hand sepsis, amputation, management, and outcome in diabetic patients presenting to a multidisciplinary diabetic center in Khartoum, Sudan. METHODS: This is a retrospective descriptive study of all diabetic patients presenting with hand sepsis between September 2002 and March 2008 to Jabir Abueliz Diabetic Centre (JADC) in Khartoum, Sudan. RESULTS: A hundred and nineteen diabetic patients with hand sepsis were managed in JADC. The causative agent was unknown in 48.7%, and due to trauma in 42.9%. The most common presentation was cellulitis in 36.1% of patients and deep seated abscess in 29.5%. In 22.7% there was significant sensory neuropathy with loss of perception to 10 gm monofilament nylon. An associated foot ulcer was present in 13.4% of patients. One or more digits amputation was carried out in 17 (14.3%) of patients and hand amputation was unavoidable in 2 (1.7%). Complete healing with good function was achieved in 79%. There was no mortality in this series. CONCLUSION: Hand sepsis in diabetics is a serious complication, but with early presentation to a specialized diabetic care facility, satisfactory outcome could be achieved.
OBJECTIVE: To report on the clinical presentation and possible risk factors leading to hand sepsis, amputation, management, and outcome in diabeticpatients presenting to a multidisciplinary diabetic center in Khartoum, Sudan. METHODS: This is a retrospective descriptive study of all diabeticpatients presenting with hand sepsis between September 2002 and March 2008 to Jabir Abueliz Diabetic Centre (JADC) in Khartoum, Sudan. RESULTS: A hundred and nineteen diabeticpatients with hand sepsis were managed in JADC. The causative agent was unknown in 48.7%, and due to trauma in 42.9%. The most common presentation was cellulitis in 36.1% of patients and deep seated abscess in 29.5%. In 22.7% there was significant sensory neuropathy with loss of perception to 10 gm monofilament nylon. An associated foot ulcer was present in 13.4% of patients. One or more digits amputation was carried out in 17 (14.3%) of patients and hand amputation was unavoidable in 2 (1.7%). Complete healing with good function was achieved in 79%. There was no mortality in this series. CONCLUSION:Hand sepsis in diabetics is a serious complication, but with early presentation to a specialized diabetic care facility, satisfactory outcome could be achieved.
Authors: Andrew J Hayden; Neil V Shah; Sarah G Stroud; Gregory S Penny; Steven A Burekhovich; Aadit T Shah; Erika Kuehn; Andrew Yang; Bassel G Diebo; Steven M Koehler Journal: J Hand Microsurg Date: 2019-06-26
Authors: Bilsev Ince; Mehmet Dadaci; Abdullah Arslan; Zeynep Altuntas; Mustafa Kursat Evrenos; Mehmet Fatih Karsli Journal: Pak J Med Sci Date: 2015 Impact factor: 1.088