An Autopsy Case of Type 2 Diabetes Mellitus Complicated by Infective Endocarditis, and Multiple Microabscesses of the Brain and Kidneys Due to Candida Albicans.

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  • カンジダ性ゆうぜい性心内膜炎，多発性微小脳膿よう，腎膿ようを合併した２型糖尿病の１剖検例

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Abstract

A 83-year-old woman with type 2 diabetes mellitus but without diabetic triopathy was admitted to Kitasato University Hospital due to a sense of urinary retention, pollakiuria, and left lower abdominal quadrant pain. The patient was suspected of urinary tract infection, diabetic hyperglycemia, and ketoacidosis based on laboratory finding, and given antibiotics and insulin. Congestive heart failure developed on the 10 th hospital day, followed by right upper limb hemiparsis and consciousness disturbance on 21st hospital day.<BR>She died without definitive diagnosis on the 51 st hospital day. Autopsy showed verrucous endocarditis and multiple microabscesses of the brain and kidneys; these could not be diagnosed from blood and urinary cultures, and echocardiography was not considered diagnostic.

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