A CASE STUDY OF GLUTEAL ABSCESS IN DIABETIC PATIENT AFTER INTRAMUSCULAR INJECTABLE OF NUTRITIONAL SUPPLEMENTS

ANORECTAL

It is uncommon for abscesses to occur after intramuscular injections; these are most frequently observed in immunocompromised people. In case, we feature a diabetic patients of age 60 yrs old female having RBS 241.8mg/dl was came to us with an intramuscular injection-related abscess and a serious illness. These patient had inj rexnerve plus for 5 days which is Ampicillin Sulbactam resistant to Klebsiella pneumonia to isolated from them. Due to the severity of the patient's illness, the virulence and resistance of the organism, the unusual circumstances, the patient's immune status, and the lack of supporting data to appropriately direct management in the use of health resources, these patients presented a significant challenge to the healthcare system and the treating physician. To the best of our knowledge, there isn't a report of intramuscular Ampicillin Sulbactam resistant to Klebsiella pneumonia in the modern literature. As abscesss is present it may preferable for incision & drainage done with debribement of death tissue. Conservative treatment given and further treated as open wound dressing done vranaropa tail followed by raktamokshan(leech application), dhavan and dhoopan. As per Acharya Shushruta, explained sign and symptoms of sadhyovrana. Moreover, Raktamokshan is particularly performed in case where Pitta dosha is accentuated. Pittavyadhi is done with Jaloukavcharan.

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