MRSAによる大でん筋膿ようを合併した糖尿病の1例

書誌事項

タイトル別名
  • A Case of Diabetes Mellitus Associated with MRSA-Induced Gluteal Abscess.

説明

A 58-year-old man with a 12-year history of poorly controlled diabetes mellitus admitted in October 1999 for left buttock pain and swelling had had multiple skin ulcers around the bilateral ankle joints for over 5 years. Methicillin-resistant Staphylococus aureus (MRSA) had been detected from the ulcer exudate. On admission, his leucocyte count was 16, 700/μl and serum C-reactive protein (CRP) 24.6mg/dl. Computed tomography (CT) showed multiple low-density areas in the left gluteus maximus muscle. We diagnosed gluteal abscesses and conducted surgical drainage. MRSA was cultured from a sample of pus from the left gluteal abscess, exudates from the right ankle, venous blood, and urine. Surgical drainage, antibiotic therapy, and strict glycemic control with combined to provide marked clinicalimprovement. We concluded that MRSA bacteremia caused abscesses in the left gluteus maximus muscle. Because diabetics are at risk for potentially adverse reactions to immunization, strict glycemic control is important.

収録刊行物

  • 糖尿病

    糖尿病 46 (2), 129-134, 2003

    一般社団法人 日本糖尿病学会

キーワード

詳細情報 詳細情報について

  • CRID
    1390001204903553152
  • NII論文ID
    130004338899
  • DOI
    10.11213/tonyobyo1958.46.129
  • ISSN
    1881588X
    0021437X
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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