Amanda L Killeen, Randi Heming, Peter A Crisologo, Michael C Siah, Lawrence A Lavery
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Shooter's Abscess: Foot Infections in People Who Inject Drugs.
Musculoskeletal infections are common among people who inject drugs. Little is known about the prevalence and characteristics of skin and soft-tissue infections in this patient population, especially in the lower extremity. The aim of this study is to describe the clinical characteristics, bacterial pathogens, and clinical outcomes in adults with foot infections due to intravenous drug use. Nine patients for whom the podiatric service was consulted for lower-extremity abscess secondary to intravenous drug use were included in this study. Most infections (66.7%) were located on the dorsal foot. Two of the abscesses (22.2%) resulted in amputation, with one toe amputation and one ray amputation. Most infections grew methicillin-resistant Staphylococcus aureus (MRSA) (66.7%). Although our investigation had limitations, we conclude that it is likely people who inject drugs will present with infections due to MRSA and will require surgery to resolve the infection.
期刊介绍：
The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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