Iliac muscle abcess and staphylococcal metastatic infection in a diabetic patient.
We report the case of a 44-year-old obese diabetic woman admitted for fever. Blood cultures grew Staphylococcus Aureus and antibiotherapy was started. Iliac abscess was diagnosed and surgical drainage done. Clinical evolution was marked by metastatic dissemination: sacroiliac osteolysis, right shoulder osteoarthritis, spondylitis of the third lumbar vertebra and pulmonary localizations. This case-report shows diagnosis and treatment difficulties of an iliac muscle abscess with metastatic localization in a diabetic patient.
Beltran
S
S
Endocrinology Unit, Hôpital Sud, Avenue de Laënnec, 80054 Amiens Cedex 01 France.
Desailloud
R
R
Arlot
S
S
Schmit
J L
JL
D000038:Abscess / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009765:Obesity; D012293:Rifampin / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D012293:Rifampin