Undiagnosed type 2 diabetes mellitus presenting with orbital cellulitis.
The authors describe the case of a 48 years old woman who presented with a one week history of a painful, swollen left eye with proptosis and diplopia. A computed tomography (CT) scan showed features of left orbital cellulitis, and blood tests and urinalysis confirmed the diagnosis of diabetes mellitus. The infection resolved following a course of intravenous antibiotics and with glycaemic control. To our knowledge, undiagnosed diabetes mellitus presenting with orbital cellulitis has not previously been reported.
Colapinto
Patricio
P
Department of Ophthalmology, Central Middlesex Hospital, Park Royal, London, UK. colapinto@doctors.org.uk
Aslam
Sher A
SA
Frangouli
Ourania
O
Joshi
Naresh
N
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis* / Q000188:drug therapy; D004172:Diplopia / Q000175:diagnosis; D004359:Drug Therapy, Combination; D005004:Ethmoid Bone / Q000601:surgery; D005094:Exophthalmos / Q000175:diagnosis; D015818:Eye Infections, Bacterial / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005436:Floxacillin / Q000627:therapeutic use; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008687:Metformin / Q000627:therapeutic use; D008875:Middle Aged; D054517:Orbital Cellulitis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D010400:Penicillin G / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D007004:Hypoglycemic Agents; D005436:Floxacillin; D008687:Metformin; D010400:Penicillin G