Infections in People Who Inject Drugs

Question 1

What are some potential infections people who inject drugs can develop?

Answer 1

• Infective endocarditis,
• Anthrax
• Wound botulism,
• Abscesses,
• Chronic venous ulcerations and cellulitis,
• Necrotising fasciitis (may present with exquisite tenderness with little overt skin changes),
• Streptococcal infections,
• Clostridium novyii,
• Actinomyces,
• Mycobacterium,
• BBV

Question 2

Describe features of Anthrax

Answer 2

Commonly have oedema and GI, resp and CNS symptoms. It can result in sudden catastrophic shock

Question 3

Describe features of botulism

Answer 3

It is an infection by clostridium botulism which causes decending paralysis. Presents with ptosis, slurred speech which may make them appear intoxicated. Rapid diagnosis is vital

Question 4

What can we do to try prevent infections in PWID?

Answer 4

• Increase health promotion,
• Increase education
• Increase BBV testing,
• Make sure harm reduction,
• Advocate for addiction services