[Abscesses, endophthalmitis and retinopathy as "initial manifestations" of type 2 diabetes].
The case of a 42 year old female patient is described, who presented with abscesses in the lung, the left kidney, the perspiratory glands of the axillae and endophthalmitis as well. Staphylococcus aureus could be isolated from sputum, urine, bronchoalveolar lavage and excisates of the abscesses in the right axilla. After long-term antibiotic and antimycotic treatment, restitutio ad integrum could be achieved. Since the further course excluded underlying malignancy, the septic course of Staphylococcus aureus infection must be regarded as an effect of immunosuppression in long-standing and untreated diabetes mellitus.
Harsch
I A
IA
Medizinische Klinik I mit Poliklinik der Friedrich-Alexander-Universität Erlangen-Nümberg.
Hahn
E G
EG
Ficker
J H
JH
D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis*; D003930:Diabetic Retinopathy / Q000175:diagnosis*; D009877:Endophthalmitis / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008169:Lung Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013902:Radiography, Thoracic; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013997:Time Factors; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents
Abszesse, Endophthalmitis und Retinopathie als "Erstmanifestation" eines Typ 2 Diabetes.