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Cellulitis and the occult diabetic

R A Harris1, D T Hardman, A R Brown

  • 1Department of Surgery, Royal North Shore Hospital, Sydney, New South Wales, Australia.

The Australian and New Zealand Journal of Surgery
|March 1, 1996
PubMed
Summary
This summary is machine-generated.

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Cellulitis may indicate undiagnosed diabetes. Patients admitted for cellulitis often have impaired glucose tolerance, suggesting routine blood sugar testing is crucial for early diabetes detection.

Area of Science:

  • Infectious Diseases
  • Endocrinology
  • Public Health

Background:

  • Undiagnosed diabetes (occult diabetes) may contribute to cellulitis development.
  • Cellulitis can precipitate the diagnosis of diabetes mellitus.
  • This study investigated diabetes prevalence in patients presenting with cellulitis.

Purpose of the Study:

  • To determine the prevalence of diabetes mellitus and impaired glucose tolerance in patients with cellulitis.
  • To describe the demographic and pathological characteristics of patients with cellulitis.
  • To highlight the potential link between cellulitis and glucose metabolism disorders.

Main Methods:

  • Analysis of 500 consecutive cellulitis admissions to a Sydney teaching hospital (1985-1994).
  • Recorded precipitating factors, length of stay, infection site, white cell count, fever, blood sugar levels, diabetes history, and microbiology.

Related Experiment Videos

  • Included routine glucose tolerance testing for some patients.

    • Main Results:

    • 49 patients had a prior diabetes diagnosis.
    • 21% of patients (56/265) showed abnormal glucose tolerance on routine testing.
    • Trauma was the most common precipitant (137/500); mean hospital stay was 8.7 days.

    Conclusions:

    • Hospital-admitted cellulitis represents a significant healthcare cost.
    • Cellulitis presentation can be a clinical indicator of impaired glucose tolerance.
    • Fasting blood sugar testing should be part of the routine workup for all cellulitis patients.