Journal of diabetes investigation · 2020
Pyogenic psoas abscess on the dorsal side, and bacterial meningitis and spinal epidural abscess on the ventral side, both of which were induced by spontaneous discitis in a patient with diabetes mellitus: A case report.
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Horiya Megumi, Anno Takatoshi, Kawada Mayuko, Yamada Haruki, Takahashi Kaiou, Takenouchi Haruka, Iwamoto Hideyuki, Kawasaki Fumiko, Kurokawa Katsumi, Kaneto Hideaki, Kaku Kohei, Tomoda Koichi
Аннотация
Type 2 diabetes mellitus patients are immunocompromised, particularly under poorly controlled conditions, and thereby they could develop rare inflammatory diseases, such as spontaneous discitis, pyogenic psoas abscess, spinal epidural abscess and bacterial meningitis. Herein we report a pyogenic psoas abscess on the dorsal side, and bacterial meningitis and spinal epidural abscess on the ventral side, both of which were induced by spontaneous discitis in a patient with poorly controlled type 2 diabetes mellitus. This case was very rare and interesting, because we successfully treated various infections with antibiotics over a long period of time, complicated by hyperglycemic crises, although the patient suffered severe bone destruction and required rehabilitation for a long time.