A Case of Back Abscess and Diabetic Ketoacidosis in a Patient with Type 2 Diabetes Mellitus

Shizuma, Toru; Fukui, Sayato; Todoroki, Kikue

doi:10.4172/2572-5629.1000106

Cited by 3 publications

(6 citation statements)

References 10 publications

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“…In their case report, the back abscess reported by Shizuma T et al 13 in Japan was associated with DKA unlike in the index case where there was no associated DKA. Severe bacterial infection is a precipitant of DKA, an acute complication of DM, which in turn worsens the bacterial infection via hyperglycemia and acidemia (metabolic acidosis).…”

Section: Discussionmentioning

confidence: 72%

Bacterial Infections in Unusual Sites in the Setting of Poor Glycaemic Control - Case Reports

Nkpozi¹

2019

jmscr

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People living with diabetes are prone to bacterial infections; this susceptibility occurs because diabetes mellitus (DM) is associated with atherosclerotic vascular disease, sensory dysfunction and hyperglycaemia. Skin surface over the foot is, particularly, at risk, leading to foot ulcer. The objective of this report is to draw attention to bacterial infections at unusual sites and their sequelae in persons living with diabetes with poor glycaemic control. Two such cases were seen and managed at different times at

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Section: Discussionmentioning

confidence: 72%

Bacterial Infections in Unusual Sites in the Setting of Poor Glycaemic Control - Case Reports

Nkpozi¹

2019

jmscr

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“…The association of DKA and abscesses in patients with uncontrolled diabetes has been described in the literature; however, multiple presentations of DKA exist [ 9 ]. Shizumo et al described a similar uncontrolled diabetic patient with an acute complaint of a methicillin-sensitive Staphylococcus aureus (MSSA) back abscess who developed DKA after an untreated hyperglycemic state [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Tipped Over the Edge: A Case of Diabetes Ketoacidosis Precipitated by High-Dose Steroids in the Setting of a Large Peritonsillar Abscess

Mederos Liriano,

Hageboeck,

Colantonio

et al. 2024

Cureus

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Peritonsillar abscess is an infection of tonsillar soft tissue which can spread into additional neck structures leading to symptoms of fever, sore throat, dysphagia, and airway compromise. We describe a case of diabetic ketoacidosis in a patient with a history of uncontrolled type II diabetes mellitus admitted for a peritonsillar abscess who received intravenous steroids for management of the abscess swelling. The patient was treated with an insulin drip, hydration, and electrolyte replacement with a resolution to his anion gap and metabolic acidosis. Diabetic ketoacidosis occurs during increased gluconeogenesis leading to ketosis and metabolic acidosis which can be a life-threatening condition if not quickly recognized and treated. This case highlights the importance of monitoring and treating elevated blood glucose in acutely ill patients receiving steroid therapy.

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“…Due to decreased neutrophil migratory ability and phagocytic activity, poor humoral immunity, neuropathy, and microangiopathy, T2DM patients are vulnerable to infection 3 . Neck abscesses in T2DM patients are most commonly detected in the parapharyngeal space because the head and neck lymph nodes and main veins are located there.…”

Section: Discussionmentioning

confidence: 99%

“…Securing the airway, utilizing antibiotic medication, and draining the abscess are the three fundamentals for managing neck abscesses. Prompt surgical intervention will improve the prognosis of neck abscess in DM patients 3 . Drainage and debridement were performed as soon as the tissue biopsy results were acquired in this patient.…”

Section: Discussionmentioning

confidence: 99%

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Diabetic Ketoacidosis and Acute Coronary Syndrome Due to Neck Abscess

Prabowo

Dewi

Nugraha

et al. 2022

MRAJ

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Diabetic ketoacidosis (DKA) is a life-threatening consequence of diabetes mellitus. Infection is the most common cause of DKA. A 41-year-old man came to the hospital emergency department with shortness of breath the day before, nausea, vomiting, coughing, pain and swelling in the left neck. The patient has a history of uncontrolled diabetes. A physical examination revealed Kussmaul's breathing and a lump the size of a tennis ball on the left side of his neck. Laboratory findings are: leukocytosis, an increase in blood sugar of 512 mg/dL; blood gas analysis shows acidosis, ketone examination reveals ketonuria; Electrocardiography shows waves of ischemic heart disease, with elevated Hs Troponin. Fine needle examination of the lump shows a neck abscess. The patient was diagnosed with DKA in type 2 diabetes mellitus, with the acute coronary syndrome and neck abscess. Surgical debridement, antibiotics, acute coronary syndrome therapy, and DKA therapy are treatments. The patient responded well to treatment.

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A Case of Back Abscess and Diabetic Ketoacidosis in a Patient with Type 2 Diabetes Mellitus

Cited by 3 publications

References 10 publications

Bacterial Infections in Unusual Sites in the Setting of Poor Glycaemic Control - Case Reports

Bacterial Infections in Unusual Sites in the Setting of Poor Glycaemic Control - Case Reports

Tipped Over the Edge: A Case of Diabetes Ketoacidosis Precipitated by High-Dose Steroids in the Setting of a Large Peritonsillar Abscess

Diabetic Ketoacidosis and Acute Coronary Syndrome Due to Neck Abscess

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