Type 2 diabetes complicated by multiple pyomyositis.
A 40-year-old man was hospitalized due to fever, muscular swelling and pain. He had poorly controlled diabetes with many dental caries and repeated periodontitis. CT revealed multiple intramuscular abscesses; administration of antibiotics and pus drainage were performed. Intraoral infection was suspected as the route of infection of pyomyositis, and a total of six teeth was extracted. In the clinical treatment of diabetic patients, it is important to instruct patients to routinely check for the presence of traumatic injuries of the lower extremities, and to have routine check-ups and dental care to check for dental caries or periodontitis.
Yoneda
Masayasu
M
Department of Internal Medicine, Metabolism and Endocrinology, Chugoku Rosai General Hospital, Kure, Hiroshima.
Oda
Kiyoshi
K
D000038:Abscess / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents; D001774:Blood Chemical Analysis; D003731:Dental Caries / Q000150:complications / Q000382:microbiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D004322:Drainage / Q000379:methods; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D010518:Periodontitis / Q000150:complications* / Q000175:diagnosis; D017285:Polymyositis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D018570:Risk Assessment; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D007328:Insulin