A 12-year-old diabetic girl using continuous subcutaneous

Chapter 21, Problem 2

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A 12-year-old diabetic girl using continuous subcutaneous insulin infusion to manage her diabetes developed a fever (39.4C), low blood pressure, abdominal pain, and erythroderma. She was supposed to change the needle-insertion site every 3 days aer cleaning the skin with an iodine solution. Frequently she did not change the insertion site more oen than every 10 days. Blood culture was negative, and abscesses at insertion sites were not cultured. What is the probable cause of her symptoms?

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