左大腿化膿性筋炎を併発しケトアシドーシスにて来院した２型糖尿病の１例

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タイトル別名
  • A Case of Pyomyositis of The Left Thigh in Type 2 Diabetes Mellitus Associated with Diabetic Ketoacidosis
  • ショウレイ ホウコク ヒダリ ダイタイ カノウセイ キンエン オ ヘイハツ シ ケトアシドーシス ニテ ライイン シタ 2ガタ トウニョウビョウ ノ 1レイ

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A 56-year-old woman admitted to emergency for loss of consciousness had significant hyperglycemia and ketoacidosis and plasma glucose of 882mg/dl, total ketone body of 3795μmol/L, and arterial blood pH of 7.265. She had inflammation with an elevated total white blood count (WBC of 13000/mm3) and CRP of 16.4mg/dl, which was suspected to be the cause of ketoacidosis. Computed tomography (CT) of her left thigh 10 days after admission showed pyomyositis associated with abscesses. She was treated with intravenous antibiotic drugs and cured without any surgical intervention. Although pyomyositis is rare in nontropical countries, case reports of immunocompromised patients having it are increasing.Because diabetes mellitus may be a risk factor for pyomyositis, it is important to check for it when examining diabetic patients with localized muscle pain.

収録刊行物

  • 糖尿病

    糖尿病 46 (5), 387-392, 2003

    一般社団法人 日本糖尿病学会

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