<i>Streptococcus pyogenes</i> necrotizing soft tissue infection following glucose monitoring with FreeStyle Libre device

Tokarski, F. Von; Hobson, Claire Amaris; Lartigue, Marie‐Frédérique; Lemaignen, Adrien

doi:10.1093/qjmed/hcaa123

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…Infections are an uncommon adverse event with CGM devices but severe infections have previously been reported. 2,3 Patients with diabetes are at increased risk of infection and CGM devices create a break in the skin that could act as a conduit for infection. It is possible that the surrounding interstitial fluid could have a lower glucose as a result of bacterial infection at the site, similar to that seen in a lung empyema or the cerebro-spinal fluid in bacterial meningitis.…”

Section: Which Of the Following Statements Regarding Measurement Of G...mentioning

confidence: 99%

Continuous glucose monitoring for diabetes: potential pitfalls for the general physician

Herrod

Liversedge

Vaidya³

et al. 2022

Clinical Medicine

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A 31-year-old man presented systemically unwell with diabetic ketoacidosis (DKA). He was using an intermittently scanned continuous glucose monitoring (CGM) device that had been recording low or normal glucose readings for the 48 hours prior to admission. The sensor site had become infected, and we believe this soft tissue infection caused his CGM device to record falsely low glucose readings leading the patient to erroneously lower his insulin doses and take extra carbohydrates, precipitating DKA. CGM devices measure glucose levels in the interstitial fluid. When interstitial glucose readings do not match symptoms or expectations, a capillary blood glucose reading should be taken to correlate and impact treatment decisions. There will be an increase in patients presenting to hospital with CGM devices as the National Institute for Health and Care Excellence guidelines have recently been updated. We use this interesting clinical case to provide context for key learning points about CGM devices for the general physician.

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Section: Which Of the Following Statements Regarding Measurement Of G...mentioning

confidence: 99%

Continuous glucose monitoring for diabetes: potential pitfalls for the general physician

Herrod

Liversedge

Vaidya³

et al. 2022

Clinical Medicine

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Scarlet Fever After Streptococcus pyogenes Skin Infection Associated With FreeStyle Libre Glucose Monitoring

Dyminska

Dżygało

2021

Canadian Journal of Diabetes

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Infección de partes blandas rápidamente progresiva por Streptococcus pyogenes, toda información cuenta

Corredor-Belmar,

Puertas-García-Sandoval,

Valcárcel-Díaz

et al. 2023

Rev Esp Casos Clin Med Intern

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Un hombre de 24 años acudía a Urgencias por dolor y tumefacción en el tercer dedo de la mano izquierda tras un esfuerzo mecánico, siendo dado de alta con tratamiento sintomático. Volvía a las 20 horas con empeoramiento de los síntomas, coloración violácea del dedo, disminución de la movilidad y placas eritematosas de linfangitis en el antebrazo. Se decidió realizar una limpieza quirúrgica de urgencia además del ingreso del paciente para tratamiento antibiótico. Después de varios días de tratamiento, se observó necrosis progresiva en el dedo y se decidió la amputación del mismo. Los cultivos fueron positivos para Streptococcus pyogenes.

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Streptococcus pyogenes necrotizing soft tissue infection following glucose monitoring with FreeStyle Libre device

Cited by 3 publications

References 5 publications

Continuous glucose monitoring for diabetes: potential pitfalls for the general physician

Continuous glucose monitoring for diabetes: potential pitfalls for the general physician

Scarlet Fever After Streptococcus pyogenes Skin Infection Associated With FreeStyle Libre Glucose Monitoring

Infección de partes blandas rápidamente progresiva por Streptococcus pyogenes, toda información cuenta

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