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Author (up) Williamson, Nancy; Archibald, Chris; Van Vliet, Jon S. url 
  Title Unexplained deaths among injection drug users : a case of probable clostridium myonecrosis Type Journal Article
  Year 2001 Publication Canadian Medical Association journal : CMAJ = Journal de l’Association médicale canadienne : JAMC Abbreviated Journal  
  Volume 165 Issue 5; 04.09.2001 Pages 609-611  
  Keywords intravenous drug user; AODR mortality; clostridium; gangrene; skin inflammation; primary health care; general practitioner; United Kingdom; Ireland  
  Abstract A series of unexplained deaths associated with soft-tissue inflammation and severe systemic sepsis was reported among injection drug users (IDUs) in the United Kingdom and the Republic of Ireland in 2000. Health Canada has identified one reported fatality in an IDU that matched the case definition. Although the cause of the epidemic in the UK and Ireland is not fully understood, contributing factors include injecting into muscle or beneath the skin, rather than directly into a vein, and the use of acid to dissolve the heroin. This single Canadian case is considered to be a sporadic event that occurs at a low background rate among IDUs. These cases serve to remind primary health care providers to be vigilant in cases of soft-tissue infection among IDUs and not to underestimate the potential severity of the situation.  
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  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0820-3946 ISBN Medium  
  Area Expedition Conference  
  Notes Approved no  
  Call Number 50-aj Serial 59513  
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