Perinephric abscess from insulin syringe reuse.
Perinephric abscess is a rare and often missed diagnosis. Diabetes mellitus and injection drug use are often considered among the predisposing factors for perinephric abscess. Diabetic patients are taught to discard insulin syringes after a single use. Described here is a patient who developed perinephric abscess from contaminated insulin syringes. Physicians are often unaware of the high prevalence of disposable insulin syringe reuse in the community.
Paily
Rejith
R
Department of Internal Medicine, Caritas Medical Center, Louisville, KY 40215, USA. rejith@peoplepc.com
D000038:Abscess / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy; D004209:Disposable Equipment; D004866:Equipment Contamination; D017743:Equipment Reuse; D006801:Humans; D007328:Insulin / Q000008:administration & dosage* / Q000627:therapeutic use; D008297:Male; D010501:Perinephritis / Q000188:drug therapy / Q000209:etiology*; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000209:etiology*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D013594:Syringes
D000900:Anti-Bacterial Agents; D007328:Insulin