Pyogenic psoas abscess on the dorsal side, and bacterial meningitis and spinal epidural abscess on the ventral side, both of which were induced by spontaneous discitis in a patient with diabetes mellitus: A case report.
Megumi HoriyaTakatoshi AnnoMayuko KawadaHaruki YamadaKaiou TakahashiHaruka TakenouchiHideyuki IwamotoFumiko KawasakiKatsumi KurokawaHideaki KanetoKohei KakuKoichi TomodaPublished in: Journal of diabetes investigation (2020)
Type 2 diabetes mellitus patients are immunocompromised, particularly under poorly controlled conditions, and thereby they could develop rare inflammatory diseases, such as spontaneous discitis, pyogenic psoas abscess, spinal epidural abscess and bacterial meningitis. Herein we report a pyogenic psoas abscess on the dorsal side, and bacterial meningitis and spinal epidural abscess on the ventral side, both of which were induced by spontaneous discitis in a patient with poorly controlled type 2 diabetes mellitus. This case was very rare and interesting, because we successfully treated various infections with antibiotics over a long period of time, complicated by hyperglycemic crises, although the patient suffered severe bone destruction and required rehabilitation for a long time.
Keyphrases
- spinal cord
- neuropathic pain
- spinal cord injury
- rare case
- case report
- end stage renal disease
- ejection fraction
- glycemic control
- cerebrospinal fluid
- chronic kidney disease
- peritoneal dialysis
- oxidative stress
- early onset
- bone mineral density
- intensive care unit
- insulin resistance
- skeletal muscle
- drug induced
- postmenopausal women
- patient reported outcomes