Type 2 diabetes complicated by multiple pyomyositis

Intern Med. 2003 Feb;42(2):174-7. doi: 10.2169/internalmedicine.42.174.

Abstract

A 40-year-old man was hospitalized due to fever, muscular swelling and pain. He had poorly controlled diabetes with many dental caries and repeated periodontitis. CT revealed multiple intramuscular abscesses; administration of antibiotics and pus drainage were performed. Intraoral infection was suspected as the route of infection of pyomyositis, and a total of six teeth was extracted. In the clinical treatment of diabetic patients, it is important to instruct patients to routinely check for the presence of traumatic injuries of the lower extremities, and to have routine check-ups and dental care to check for dental caries or periodontitis.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications
  • Abscess / diagnosis*
  • Abscess / therapy
  • Adult
  • Anti-Bacterial Agents
  • Blood Chemical Analysis
  • Dental Caries / complications
  • Dental Caries / microbiology*
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / diagnosis*
  • Diabetes Mellitus, Type 2 / drug therapy
  • Drainage / methods
  • Drug Therapy, Combination
  • Follow-Up Studies
  • Humans
  • Insulin / administration & dosage
  • Male
  • Periodontitis / complications*
  • Periodontitis / diagnosis
  • Polymyositis / complications
  • Polymyositis / diagnosis*
  • Polymyositis / therapy
  • Risk Assessment
  • Staphylococcal Infections / complications
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Insulin