A Case of Prostatic Abscess and Rectoprostatic Fistula with Pyogenic Vertebral Osteomyelitis Associated with Non-Insulin Dependent Diabetes Mellitus.
スポンサーリンク
概要
- 論文の詳細を見る
A 62-year old man with a 15-year history of untreated diabetes mellitus initially visited another hospital because of miction pain. He was diagnosed with urethritis and treated with antibiotics Pipecacillin Sodium without improvement. He was admitted to our hospital with persistent fever, diabetic ketoacidosis and sepsis caused by Methicillin resistant staphylococcus aureus (MRSA). Diagnostic CT revealed prostatitis, and we subsequently detected sepsis related to prostatitis. On hospital day 7, white pus caused by MRSA was discharged from the anus. Various diagnostic imaging procedures revealed a prostatic abscess and rectoprostatic fistula. Although improvement was obtained by withholding food and administering antibiotics (Amikacin Sulfate), the patient experienced lower back pain, and a blood examination showed an increased innammatory reaction on hospital day 28. MRI revealed pyogenic vertebral osteomyelitis. By hospital day 204, all symptoms resolved with a change in antibiotics (Minocycline Hydrochloride). These findings suggest that the lower urinary tract infection, in the present case, may have spread to the vertebra and its surrounding tissue through hematogenous dissemination. In managing such a case, the physician must keep in mind the possibility that the condition may become severe if it involves 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
- Hyperlipidemia and Analysis of the Use of Lipid-lowering Drugs in Non-insulin-dependent Diabetes Mellitus.
- Thyrotoxic Crisis in a Patient with Mitochondrial Diabetes Mellitus.
- Rapidly Progressive Nephropathy in a Young Patient with Mitochondrial Gene Mutation.
- An Autopsy Case of Ketoacidosis in Insulin Dependent Diabetes Mellitus Patient Complicated with Adult Respiratory Distress Syndrome, DIC and Leukopenia.
- Studies on Alcoholic Beverages in Relation to Body Weight for Mild Diabetics