Abstract
Non-critical soft tissue diseases in patients with diabetes mellitus, despite the relatively benign course in the general population, are often accompanied by unfavorable outcomes in this group of patients. A retrospective analysis of 56 cases of non-critical infectious and inflammatory diseases of soft tissues in patients with diabetes mellitus hospitalized in 2022–2024 was carried out. It was found that 11 out of 56 patients (19.6%) died, which emphasizes the need for a detailed study of the risk factors for a complicated course and death. The main causes of mortality were untimely medical attention, late diagnosis, high incidence of unrecognized concomitant diabetic nephropathy and uncontrolled hyperglycemia. Among the complications, phlegmons, abscesses, purulent lymphangitis, as well as deep vein thromboses against the background of inflammation prevailed. Statistically significant correlations were found between the level of HbA1c > 9.0%, renal dysfunction, localization of the process in the hip and pelvis, as well as the outcome of the disease. The data obtained indicate the need to revise the tactics of early routing of patients with this pathology and the introduction of an algorithm for multidisciplinary monitoring of patients with diabetes even with an outwardly mild course of soft tissue infections.