ABSCESSES OF THE UPPER EXTREMITY FROM DRUG-ABUSE BY INJECTION

A 4-year retrospective review of 59 consecutive upper extremity absces ses associated with drug abuse by injection is reported. There were 57 patients, with the most common location being the forearm. All absces ses were treated with incision, drainage, and intravenous antibiotics. Seventeen patients required more than one debridement; nine were comp licated by fasciitis, osteomyelitis, septic arthritis, or septic tenos ynovitis. Thirty-one patients had human immunodeficiency virus testing , and nine results were positive. Bacteriology showed the most common organisms to be streptococcus, Staphylococcus aureus, and Eikenella co rrodens. Nineteen percent of the abscesses had anaerobes cultured. Mos t of the organisms cultured were common oral or skin flora.