Volume 1 number 1 Summer 2003
Special issue for the abstracts of the 7th Pan Arab Conference on Diabetes
PACD7 , 25 – 28 March 2003 Cairo

 Abstract Number : 23
MICROORGANISMS IN THE BASE OF THE HYPERKERATOSIS IN
DIABETIC FOOT.

RAFAEL BUSTOS SALDAŅA, Mexico

Objective: 
To determine the kinds of existing microorganisms under the HYPERKERATOSIS of the diabetic foot.
Material and methods: 
49 patients in descriptive form, transversal, with diabetes mellitus, foot HYPERKERATOSIS, without neither inflammation data nor receiving antibiotic therapy. Three samples of the lesion were analyzed for fungus and bacterial culture.

Results: 
In 40 cases (81.6%) microorganisms were isolated, in 27 at least 2 microorganisms were identified, and in four cases 3 microorganisms were isolated and in 9 only one. The most frequent were Staphylococcus Albus in 24 patients, Staphylococcus Aureus in 13, and 5 negative gram bacillus (Klebsiela, Hafnia alvei, Proteus sp. and Enterococcus sp.), in 9 the cultures were mixed and in 3 case fungus were identified. A 50% of the individuals presented underkeratosic hematoma in the lesion.

Conclusions: 
Four fifth parts of the patients presented some kind of microorganisms, the most frequently isolated bacteria was Staphylococcus Albus.

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