A Case of Diabetes Mellitus Associated with Iliopsoas Abscess Caused by MRSA.
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概要
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A 79-year-old man was admitted to our hospital because of left spermatic varicocele and chronic epididymitis. Although he had diabetes mellitus, he had gone without treatment for a long time before admission. His fasting plasma glucose levels exceeded 200mg/d<I>l</I>, so insulin therapy was started. Left orchiectomy was complicated by urinary tract infection immediately postoperatively. About three weeks after the operation the patient complained of fever, lower back pain, and right flank pain. His leukocyte count was 22, 200/mm<SUP>3</SUP>. A CT scan of the abdomen showed low density in the right iliopsoas muscle, and iliopsoas abscess was diagnosed. Various antibiotics had little effect, so the abscess was surgically drained. Pus culture yielded methicillin-resistant Staphylococcus aureus (MRSA). The abscess was drained and resolve. This far, many bacteria, including Staphylococcus aureus and β-streptococcus, have been reported as pathogens of iliopsoas abscess. To our knowledge this is the first case in Japan of iliopsoas abscess caused by MRSA.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
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