Hemophilus Influenza Infection of an Implantable Insulin-Pump Pocket
- Richard P Levy, MD,
- Mark D Borchelt, MD,
- Richard M Kremer, MD,
- Stephen J Francis, MD and
- Carol A O'Connor, MSN
- Departments of Internal Medicine and Surgery, St. Thomas Medical Center/Summa Health Care System Akron, Ohio
- Address correspondence and reprint requests to Richard P. Levy, MD, 444 North Main Street, Suite 306, Akron, OH 44310.
Abstract
OBJECTIVE To increase awareness of adverse events associated with the use of implantable insulin pumps.
RESEARCH DESIGN AND METHODS A descriptive case report of a pump implant infection.
RESULTS This is a case report of one implanted insulin pump-pocket infection among a series of 15 patients. After exposure to a child with a respiratory infection on PID 30, V.L.C. (the patient) developed a fulminant pump-pocket infection. H. influenza was recovered from it. Despite aggressive antibiotic therapy, the infection could not be controlled. Insulin delivery ceased, and the pump was explanted. The pump-pocket infection rapidly resolved with pump removal, permitting later reimplantation.
CONCLUSIONS We have adopted the American Heart Association indications and antimicrobial prophylaxis regimens recommended for prevention of endocarditis in patients with prosthetic values for patients with implanted insulin pumps.
- Received November 24, 1991.
- Revision received June 23, 1992.
- Accepted June 23, 1992.
- Copyright © 1992 by the American Diabetes Association
