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Author
Williamson, Nancy; Archibald, Chris; Van Vliet, Jon S.
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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English
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ISSN
0820-3946
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Conference
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no
Call Number
50-aj
Serial
59513
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