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Endocrine Abstracts (2018) 56 EP82 | DOI: 10.1530/endoabs.56.EP82

1Endocrinology, Diabetology and Metabolic Diseases Department Ibn Rochd University Hospital of Casablanca, Morocco; 2Neurosciences and Mental Health Laboratory Faculty of Medicine and Pharmacy, University Hassan II, Casablanca, Morocco.


Introduction: Deep abscess represent infectious emergencies. The aim of our study was to evaluate the clinical, biological, radiological and evolutionary of deep abscess in diabetic patients.

Patients and methods: A prospective descriptive study was conducted over a period of 12 months in 2017, including 52 diabetic patients hospitalized in the University Hospital with a our patients deep abscess.

Results: The average age of 52.4 years, a sex ratio of 2.06 M/F, type 2 diabetes predominant (84.6%), an average age of 7 years, a lack monitoring (53.8%), an average HbA1c of 10.5% and degenerative complications (69.2%). Clinical signs found in our patients were fever (34%), pain in the right upper quadrant (28%), earache (8%), localized pain (10%) and proptosis (14%). We noted that 40% were asymptomatic. Biological assessment achieved found a high CRP (88%) with an average of 47.4 mg/l, leukocytosis (50%), multiple abscesses on ultrasound (85%) with an average size of 7 cm, and infiltration/or collection at tomography (60%).We noted the following locations: liver (19), ocular (12), ORL (5), lung (4), psoas (2), breast (2), one conus medullaris, a tuboovarian, renal (2), mediastinal (2), parietal (1) and brain (1). A bacteriological analysis was performed in 90% of patients, blood culture (35%) and removal of pus (70%). Gram negative bacilli were predominant: E. coli (30%), Klebsiella (60%) for hepatic abscesses, pseudomonas aeruginosa (16.6%) of corneal abscess and specificity of Aspergillus fumigatus in the case of a complicated pansunisitis of orbital cellulitis. Combination therapy with surgical drainage (59.6%), an injectable antibiotic therapy alone (30.8%), bi or triple therapy (69.2%) with an average duration of 14 days and intensified insulin therapy. The outcome was favorable in 95% of patients. One patient who died in post-operative following a pulmonary embolism.

Conclusion: Our study highlighted the interest to seek a deep abscess before any imbalance with a clinical picture which is sometimes little noisy, to improve patients prognosis, which is overshadowed by the lesions severity and delayed diagnosis.

Volume 56

20th European Congress of Endocrinology

Barcelona, Spain
19 May 2018 - 22 May 2018

European Society of Endocrinology 

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