Cervical Spinal Epidural Abscess and Perirenal Abscess Associated with Diabetes Mellitus
| Autor: | Kunihiko Iizuka, Kazuma Okamoto, Takao Ischizuka, Takashi Nagai, Kazunori Tonouchi, Yoshio Umegae, Ken Masubuchi, Naoko Tonooka, Mie Kotake |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Magnetic resonance imaging General Medicine medicine.disease Surgery Vertebra medicine.anatomical_structure Diabetic diet Polyuria White blood cell Diabetes mellitus medicine Blood culture medicine.symptom business Polydipsia |
| Zdroj: | The Kitakanto Medical Journal. 60:155-158 |
| ISSN: | 1881-1191 1343-2826 |
| Popis: | A 56-year-old woman was admitted due to fever, thirst, polydipsia, polyuria, posterior cervical pain and lumbago. Hyperglycemia and urine white blood cell elevation were detected. Computed tomography showed left perirenal abscess. Urine culture and blood culture revealed Escherichia coli. We diagnosed perirenal abscess followed by pyelonephritis due to untreated diabetes mellitus. We used 6g of ampicillin-sulbactum daily and from the 10th day 4g of sulfamethoxazole-trimethoprim for perirenal abscess, and 180mg of loxoprofen sodium daily for posterior cervical pain in addition to a diabetic diet and insulin therapy for diabetes mellitus. Although the patient's fever normalized and lumbago improved, posterior cervical pain level increased and bilateral 1, 2 and 3 finger-numbness occurred from the 18th day. Cervical magnetic resonance imaging showed cervical 4, 5 and 6 vertebra inflammation induced spine compression. Removal of the cervical abscess and fixation of the vertebra were performed at the 27th day. Treating diabetes mellitus is important for the prevention of severe infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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