Abstract
A 67-year-old man with insulin-treated diabetes mellitus developed a diabetic ulcer on his right sole. He was admitted to our hospital on October 15, 2001 with high-grade fever and severe pain in his lower back and right lower leg. Bacteriological examination of the patient's blood and ulcer confirmed Methicillin-resistant Staphylococcus aureus, and vancomycin was administered. However, the patient's general condition did not improve, and his back and leg pain worsened. On day 4 after admission, computed tomography showed a low density mass around the psoas muscles, indicating a psoas abscess and magnetic resonance imaging showed pyogenic spondylitis of the lumber spine at L4/5. We performed drainage under general anesthesia but paralysis of the patient's lower limbs persisted. Diagnosis of pyogenic spondylitis and psoas abscess in patients with atypical clinical findings is difficult. Therefore, patients with diabetes mellitus should be routinely assessed for potential pyogenic diseases such as pyogenic spondylitis and psoas abscess.
| Original language | English |
|---|---|
| Pages (from-to) | 6-8 |
| Number of pages | 3 |
| Journal | Nishinihon Journal of Dermatology |
| Volume | 66 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Mar 19 2004 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Dermatology
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Pyogenic Spondylitis and Psoas Abscess in a Patient with Diabetic Ulcer. / Ishida, Toshiko; Yokoyama, Emi; Ishikawa, Kimi; Okuda, Mikako; Yamaguchi, Michiya; Yosikawa, Yoshiaki; Muto, Masahiko; Toyota, Kouichiro.
In: Nishinihon Journal of Dermatology, Vol. 66, No. 1, 19.03.2004, p. 6-8.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pyogenic Spondylitis and Psoas Abscess in a Patient with Diabetic Ulcer
AU - Ishida, Toshiko
AU - Yokoyama, Emi
AU - Ishikawa, Kimi
AU - Okuda, Mikako
AU - Yamaguchi, Michiya
AU - Yosikawa, Yoshiaki
AU - Muto, Masahiko
AU - Toyota, Kouichiro
PY - 2004/3/19
Y1 - 2004/3/19
N2 - A 67-year-old man with insulin-treated diabetes mellitus developed a diabetic ulcer on his right sole. He was admitted to our hospital on October 15, 2001 with high-grade fever and severe pain in his lower back and right lower leg. Bacteriological examination of the patient's blood and ulcer confirmed Methicillin-resistant Staphylococcus aureus, and vancomycin was administered. However, the patient's general condition did not improve, and his back and leg pain worsened. On day 4 after admission, computed tomography showed a low density mass around the psoas muscles, indicating a psoas abscess and magnetic resonance imaging showed pyogenic spondylitis of the lumber spine at L4/5. We performed drainage under general anesthesia but paralysis of the patient's lower limbs persisted. Diagnosis of pyogenic spondylitis and psoas abscess in patients with atypical clinical findings is difficult. Therefore, patients with diabetes mellitus should be routinely assessed for potential pyogenic diseases such as pyogenic spondylitis and psoas abscess.
AB - A 67-year-old man with insulin-treated diabetes mellitus developed a diabetic ulcer on his right sole. He was admitted to our hospital on October 15, 2001 with high-grade fever and severe pain in his lower back and right lower leg. Bacteriological examination of the patient's blood and ulcer confirmed Methicillin-resistant Staphylococcus aureus, and vancomycin was administered. However, the patient's general condition did not improve, and his back and leg pain worsened. On day 4 after admission, computed tomography showed a low density mass around the psoas muscles, indicating a psoas abscess and magnetic resonance imaging showed pyogenic spondylitis of the lumber spine at L4/5. We performed drainage under general anesthesia but paralysis of the patient's lower limbs persisted. Diagnosis of pyogenic spondylitis and psoas abscess in patients with atypical clinical findings is difficult. Therefore, patients with diabetes mellitus should be routinely assessed for potential pyogenic diseases such as pyogenic spondylitis and psoas abscess.
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UR - http://www.scopus.com/inward/citedby.url?scp=1542288942&partnerID=8YFLogxK
U2 - 10.2336/nishinihonhifu.66.6
DO - 10.2336/nishinihonhifu.66.6
M3 - Article
AN - SCOPUS:1542288942
VL - 66
SP - 6
EP - 8
JO - Nishinihon Journal of Dermatology
JF - Nishinihon Journal of Dermatology
SN - 0386-9784
IS - 1
ER -