Viral Skin Infections in Diabetes: Age, Socioeconomic, and Glycemic Correlates in a Bangladeshi Cohort

Background:
Diabetes mellitus increases susceptibility to viral skin infections through
impaired immunity, yet evidence from low-income settings is scarce.
Objective:
This study examined demographic, socioeconomic, and glycemic
correlates of viral skin infections among diabetic patients in Bangladesh.
Methods:
This cross-sectional study was conducted among 173 diabetic patients
with clinically confirmed viral skin infections at the Department of
Dermatology, BIRDEM General Hospital, Dhaka, Bangladesh from June
2024 to July 2025. Demographic variables, socioeconomic status (SES),
environmental exposures, and glycemic control were analyzed.
Results:
Young adults constituted the largest group (45.7%), and males
predominated (64.2%). Uncontrolled glycemia was observed in 46.2%
of cases. Lower SES was strongly associated with herpes zoster (61.3%)
and genital herpes (61.0%). Multivariable analysis identified low SES
(aOR 2.60, 95% CI 1.40–4.85), uncontrolled diabetes (aOR 2.25, 95%
CI 1.20–4.25), slum residence (aOR 2.35), and jail confinement (aOR
2.50) as independent predictors.
Conclusion:
Viral skin infections in diabetic patients are shaped by socioeconomic
vulnerability and poor glycemic control.