Infections in diabetes mellitus:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia u.a.
Saunders
1995
|
| Schriftenreihe: | Infectious disease clinics of North America
9,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII, 221 S. Ill. |
Internformat
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| 245 | 1 | 0 | |a Infections in diabetes mellitus |c George M. Eliopoulos |
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| 490 | 1 | |a Infectious disease clinics of North America |v 9,1 | |
| 650 | 2 | |a Diabète - complications | |
| 650 | 2 | |a Infection | |
| 650 | 4 | |a Diabetes Mellitus |x complications | |
| 650 | 0 | 7 | |a Infektionskrankheit |0 (DE-588)4026879-2 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Diabetes mellitus |0 (DE-588)4070446-4 |2 gnd |9 rswk-swf |
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Datensatz im Suchindex
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|---|---|
| adam_text | INFECTIONS IN DIABETES MELLITUS
CONTENTS
Preface xi
George M. Eliopoulos
Host Defenses and Susceptibility to Infection in Patients
with Diabetes Mellitus 1
M. Molly McMahon and Bruce R. Bistrian
The recently completed Diabetes Control and Complications Trial
(DCCT) provided compelling evidence that intensive treatment of
people with insulin dependent diabetes mellitus can delay or pre¬
vent diabetic microvascular complications. Although not studied
in the DCCT, patients with noninsulin dependent diabetes melli¬
tus likely will benefit from near normoglycemia. Although it is
difficult to prove a similar causal relation between hyperglycemia
and infection (this outcome was not looked for in the DCCT), there
is substantial in vitro data and evolving clinical studies that sup¬
port this hypothesis. This information is presented in this article
following a review of the regulation of glucose levels.
Staphylococcus aureus Infections in Diabetic Patients 11
Jeanne D. Breen and Adolf W. Karchmer
Staphylococcus aureus infections may occur with greater frequency
among patients with diabetes mellitus. This article reviews the
available literature as it pertains to diabetes and S. aureus in three
categories: colonization/carriage, bacteremia with or without meta
static complications, and dialysis related infections. The clinical
entity of pyomyositis is also discussed.
INFECTIOUS DISEASE CLINICS OF NORTH AMERICA
VOLUME 9 • NUMBER 1 • MARCH 1995 V
Bacterial Urinary Tract Infections in Diabetes 25
Jan Evans Patterson and Vincent T. Andriole
Urinary tract infection is a significant problem in diabetes mellitus.
The pathogenesis and management of bacteriuria and uncompli¬
cated urinary tract infections are reviewed in this article. Upper
tract infection is more common in diabetic patients; special consid¬
erations regarding pyelonephritis in the diabetic patient are cov¬
ered. Complicated upper tract infections, such as intrarenal abscess,
urinary tract emphysema, perinephric abscess, papillary necrosis,
and metastatic infection from the urinary tract are frequently seen in
diabetics. The pathogenesis and management of these entities in
the setting of diabetes mellitus are also reviewed in this article.
Deep Soft tissue Infections in Diabetic Patients 53
Deborah E. Sentochnik
A wide range of soft tissue infections can occur in diabetic pa¬
tients, the consequences of which can be devastating. Early recog¬
nition and intervention, which may involve both surgical and
medical approaches, can improve clinical outcomes.
Pulmonary Complications of Diabetes Mellitus:
Pneumonia 65
Henry Koziel and Margaret James Koziel
Diabetes mellitus is often identified as an independent risk factor
for developing lower respiratory tract infections. Pulmonary infec¬
tions, such as those caused by Mycobacterum tuberculosis, mucor,
Staphylococcus aureus, and gram negative bacteria may occur with
an increased frequency whereas infections due to Streptococcus
pneumoniae, Legionella, and influenza may be associated with in¬
creased morbidity and mortality. The predisposition to lower res¬
piratory tract infections may represent alterations in pulmonary
host defenses at several levels. The purpose of this article is to
review the spectrum of pulmonary infections encountered in the
diabetic patient, focusing on predisposing defects in pulmonary
host defense, highlighting characteristic clinical features, and dis¬
cussing diagnostic approaches, therapeutic interventions, and pro¬
phylaxis in this patient population.
Fungal Infections in Diabetes 97
Jose A. Vazquez and Jack D. Sobel
Not all types of fungal infection occur frequently in diabetics. The
majority of diabetics, particularly well controlled diabetics, are
at no increased risk for acquiring a fungal infection. Neverthe¬
less, certain forms of mycotic infection, notably mucocutaneous
candidiasis and invasive zygomycosis, are definitely increased in
prevalence in some diabetics. Other fungal infections occur with a
Vi CONTENTS
mild increased frequency only. Diagnosis and management of my
cotic infections in diabetics are discussed in this article.
The Infectious Disease Problems of the Diabetic Renal
Transplant Recipient 117
Nina E. Tolkoff Rubin and Robert H. Rubin
Approximately 30% of patients with end stage renal disease who
undergo transplantation develop renal failure as a result of their
long standing diabetes mellitus. Therefore, diabetics warrant spe¬
cial attention in considering the infectious disease problems asso¬
ciated with transplantation. The three categories that should be
considered in infections affecting the diabetic renal transplant re¬
cipient are discussed in this article.
Diabetic Foot Infections: Anatomy and Surgery 131
Gary W. Gibbons and Geoffrey M. Habershaw
Sensory and motor neuropathy result in foot deformities highly
susceptible to unrecognized trauma resulting in ulceration. Early,
aggressive surgical d^bridement, adjunctive antibiotics, dressings,
rest of the injured area, correction of ischemia, and control of dia¬
betes are essential to prevent amputation.
Diabetic Foot Infections: Antimicrobial Therapy 143
M. Lindsay Grayson
Pedal infection in diabetic patients is both a common and poten¬
tially disastrous complication that can progress rapidly to irrevers¬
ible septic gangrene necessitating amputation of the foot. The
choice of optimal antibiotic therapy depends on an accurate assess¬
ment of sepsis severity, reliable microbiologic data, and consider¬
ation of host factors, such as renal and vascular impairment. Em¬
piric broad spectrum antibiotic regimens are generally preferred
because of the polymicrobial nature of most pedal infections. Mild
infections may be treated as an outpatient with oral antibiotics and
close clinical review while moderate/severe (limb threatening)
and severe (life threatening) infections require resection of necrotic
tissue, parenteral broad spectrum antibiotic therapy, and in some
cases, lower limb revascularization once sepsis has been con¬
trolled. Pedal osteomyelitis frequently requires prolonged antibi¬
otic therapy or resection of involved bone. In this article, treatment
trials are reviewed and suitable antibiotic regimens commensurate
with the severity of infection are proposed.
Imaging Infections in Diabetic Patients 163
H. Esterbrook Longmaid III and Jonathan B. Rruskal
Diabetic patients are predisposed to developing both commonly
occurring and unusual infections. Because of the complex nature
CONTENTS Vli
of diabetes, infectious processes may have atypical clinical or im¬
aging presentations. This article focuses on imaging approaches to
the most common infections in diabetics and critically assesses the
advantages, limitations, and utilization of newer imaging modal¬
ities in the evaluation of diabetic infections. An emphasis is placed
on practical imaging algorithms, the need for close clinical and
imaging consultation, and correlation of results for optimal patient
management.
General Surgery Considerations in the Diabetic Patient 183
Timothy J. Babineau and Albert Bothe, Jr
It has been estimated that approximately 50% of all diabetic pa¬
tients require at least one operation in their lifetime. Of all diabetic
patients operated on, approximately 17.2% will have some type of
postoperative complication, approximately two thirds of which
being infectious complications and the remaining one third being
cardiovascular complications. Despite this relatively high compli¬
cation rate, traditional concepts of increased postoperative mor¬
bidity and mortality among diabetic surgical patients are being
challenged. Recently, well designed studies have revealed that
when comorbid diseases are controlled, diabetes no longer ap¬
pears to be an independent risk factor for postoperative surgical
complications.
Infections of the Head and Neck in Diabetes Mellitus 195
Maureen R. Tierney and Ann Sullivan Baker
Patients with diabetes mellitus exhibit particular susceptibility to
three severe infections of the head and neck: rhinocerebral mucor
mycosis, postoperative endophthalmitis, and malignant otitis ex
terna. Rhinocerebral mucormycosis is an extensive life threatening
infection beginning in the nasal passages and sinuses and extend¬
ing often into the orbit and the cerebrum. Endophthalmitis, which
is infection of the vitrealcontents, can occur secondary to bacte
remia, trauma, or postoperatively. Invasive external otitis or ma¬
lignant otitis externa is an invasive infection beginning in the
adjacent soft tissue and into bone. It is usually secondary to Pseudo
monas aeruginosa and occurs almost exclusively in diabetics. These
will all be discussed in this article.
Index 217
Subscription Information Inside back cover
viii CONTENTS
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| language | English |
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| physical | XII, 221 S. Ill. |
| publishDate | 1995 |
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| series | Infectious disease clinics of North America |
| series2 | Infectious disease clinics of North America |
| spelling | Infections in diabetes mellitus George M. Eliopoulos Philadelphia u.a. Saunders 1995 XII, 221 S. Ill. txt rdacontent n rdamedia nc rdacarrier Infectious disease clinics of North America 9,1 Diabète - complications Infection Diabetes Mellitus complications Infektionskrankheit (DE-588)4026879-2 gnd rswk-swf Diabetes mellitus (DE-588)4070446-4 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Diabetes mellitus (DE-588)4070446-4 s Infektionskrankheit (DE-588)4026879-2 s DE-604 Eliopoulos, George M. Sonstige oth Infectious disease clinics of North America 9,1 (DE-604)BV000841738 9,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006759795&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Infections in diabetes mellitus Infectious disease clinics of North America Diabète - complications Infection Diabetes Mellitus complications Infektionskrankheit (DE-588)4026879-2 gnd Diabetes mellitus (DE-588)4070446-4 gnd |
| subject_GND | (DE-588)4026879-2 (DE-588)4070446-4 (DE-588)4143413-4 |
| title | Infections in diabetes mellitus |
| title_auth | Infections in diabetes mellitus |
| title_exact_search | Infections in diabetes mellitus |
| title_full | Infections in diabetes mellitus George M. Eliopoulos |
| title_fullStr | Infections in diabetes mellitus George M. Eliopoulos |
| title_full_unstemmed | Infections in diabetes mellitus George M. Eliopoulos |
| title_short | Infections in diabetes mellitus |
| title_sort | infections in diabetes mellitus |
| topic | Diabète - complications Infection Diabetes Mellitus complications Infektionskrankheit (DE-588)4026879-2 gnd Diabetes mellitus (DE-588)4070446-4 gnd |
| topic_facet | Diabète - complications Infection Diabetes Mellitus complications Infektionskrankheit Diabetes mellitus Aufsatzsammlung |
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