化膿性筋炎を合併したＮＩＤＤＭの１例

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  • A Case of Pyomyositis in a Patient with Non Insulin-Dependent Diabetes Mellitus.

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Pyomyositis is a primary pyogenic infection of skeletal muscle which is common in tropical climates but notably rare in temperate climates. It is impossible to identify a unifying etiologic factor for pyomyositis at present and diagnosis of this disease is difficult because symptoms are limited. However, it is known that diabetic patients with poor control suffer from defects in host defence mechanisms and impaired polymorphonuclear leukocyte functions that put them at increased risk for bacterial infections.<BR>We report on a NIDDM patient with pyomyositis in the right erector spinae muscle that was diagnosed after treatment for diabetic ketoacidosis. The patient had no history of travel or residence in tropical climates. There was only slight tenderness and swelling in the affected area, but a low grade fever and positive CRP persisted even after blood glucose levels had improved. Findings from CT scan and scintigram led to the diagnosis of pyomyositis. The infection was treated with antibiotic therapy, and the patient was eventually able to control glucose levels with diet alone. The results in this case suggest that there may be a relationship between the onset of pyomyositis and ketoacidosis.

収録刊行物

  • 糖尿病

    糖尿病 34 (12), 1071-1076, 1991

    一般社団法人 日本糖尿病学会

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