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.
Department of Ophthalmology, Central Middlesex Hospital, Park Royal, London, UK. colapinto@doctors.org.uk
Patricio
P
Colapinto
Sher A
SA
Aslam
Ourania
O
Frangouli
Naresh
N
Joshi
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