Bilateral extensive leg pyomyositis presenting with diabetic ketoacidosis

IF 0.4 Q4 ENDOCRINOLOGY & METABOLISM British Journal of Diabetes Pub Date : 2021-12-17 DOI:10.15277/bjd.2021.322
J. Shah, K. Seejore, M. Mansfield
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Abstract

Pyomyositis is a rare and serious acute purulent bacterial infection of the skeletal muscle. Diabetes is the most important predisposing factor and, if left untreated, the infection has significant complications. We report the case of an adult male who presented acutely with a history of abdominal pain, nausea and vomiting and bilateral thigh pain. His abdominal examination was unremarkable, but a fluctuant swelling was identified in both thighs. Biochemical investigations revealed raised inflammatory markers and diagnostic chemistry of diabetic ketoacidosis. Pyomyositis was treated with intravenous antibiotics and surgical abscess drainage. MRI is the definitive investigation of choice to diagnose pyomyositis. Differential diagnoses include cellulitis, septic arthritis and deep vein thrombosis.
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以糖尿病酮症酸中毒为表现的双侧广泛性腿部肌炎
化脓性肌炎是一种罕见而严重的急性化脓性骨骼肌细菌感染。糖尿病是最重要的诱发因素,如果不及时治疗,感染会有明显的并发症。我们报告的情况下,一个成年男性谁提出了急性腹痛,恶心,呕吐和双侧大腿疼痛的历史。腹部检查无明显异常,但发现双大腿有波动性肿胀。生化检查显示糖尿病酮症酸中毒的炎症标志物和诊断化学升高。脓性肌炎采用静脉注射抗生素和外科脓肿引流治疗。MRI是诊断化脓性肌炎的明确选择。鉴别诊断包括蜂窝织炎、化脓性关节炎和深静脉血栓。
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来源期刊
British Journal of Diabetes
British Journal of Diabetes ENDOCRINOLOGY & METABOLISM-
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16.70%
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15
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