A Case of Type 2 Diabetes Mellitus Complicated by a Psoas Abscess Secondary to Pyosalpinx.
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Accession number;01A0497994
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| Title;A Case of Type 2 Diabetes Mellitus Complicated by a Psoas Abscess Secondary to Pyosalpinx. |
| Author;
KOSUGI EIJIRO
(Saiseikai Kanagawakenbyoin Naika)
HIGA MARIKO
(Saiseikai Kanagawakenbyoin Naika)
YAMAMURO WATARU
(Saiseikai Kanagawakenbyoin Naika)
HAMATANI TOSHIKI
(Saiseikai Kanagawakenbyoin Sanfujinka)
NAKANO MASAO
(Saiseikai Kanagawakenbyoin Sanfujinka)
SATO MICHIHIRO
(Saiseikai Kanagawakenbyoin Hoshasenka)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.44;NO.3;PAGE.221-226(2001)
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| Figure&Table&Reference;FIG.5, TBL.1, REF.17 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;A 77-year-old woman diagnosed with type 2 diabetes at 58 years of age had poor glycemic control for several years and a vaginal discharge for a year. She was admitted to our hospital because of fever, right lower abdominal pain, low back pain, diarrhea, and vomiting for several days. After admission, treatment was started with subcutaneous insulin injection and the intravenous infusion of saline and antibiotics. After 3 days, diarrhea and vomiting had improved and elevated plasma glucose had decreased, but abdominal pain, low back pain, and vaginal discharge had grown more severe. Laboratory data showed severe inflammatory change, and a pyosalpinx and psoas abscess were suggested by ultrasonography and computed tomography (CT). Ultrasonographyguided needle aspiration biopsy of the psoas muscle was conducted and the diagnosis confirmed based on aspiration of a purulent discharge. The psoas abscess was connected to the right fallopian tube and uterus when it was enhanced after surgical drainage. Klebsiella ozaenae was isolated from a sample of pus from the psoas abscess and pyosalpinx. The patient was successfully treated with antibiotics and surgical drainage of the psoas abscess and uterine cervix. The number of reports of diabetic patients with psoas abscess has been increasing recently, and some reports have shown that 30-60% of patients with psoas abscess have diabetes with poor glycemic control. To our knowledge, this is the second case reported of type 2 diabetes mellitus complicated by psoas abscess secondary to pyosalpinx. (author abst.) |
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