A Case of Diabetes Mellitus with Pyogenic Vertebral Osteomyelitis, Pyogenic Arthritis of the Knee Joint, and Metastatic Bacterial Endophthalmitis Associated with Pneumococcal Sepsis

Keiichi Kodama, Akira Shimada, Takayuki Shimizu, Hiroshi Maruyama, Takao Saruta

Research output: Contribution to journalArticle

Abstract

A 62-year-old woman with a 14-year history of insulin-treated diabetes mellitus initially visited a hospital due to lumbago and pain in the right knee joint with fever, followed by abrupt loss of right vision due to vitreous opacity. Both blood and joint fluid culture were positive for pneumococcus and magnetic resonance imaging (MRI) revealed a low-intensity lumbar lesion. Based on these findings, she was diagnosed as having pyogenic vertebral osteomyelitis, pyogenic arthritis of the knee joint, and metastatic bacterial endophthalmitis with pneumococcal sepsis. Immediate administration of antibiotics and vitreous surgery improved her condition. Immediate diagnosis and timely treatment are required to improve prognosis in these cases, and physicians should keep in mind that diabetic patients who have symptoms of lumbago, pain in the joints, and acute loss of vision with fever may have these infectious diseases.

Original languageEnglish
Pages (from-to)235-240
Number of pages6
JournalJournal of the Japan Diabetes Society
Volume44
Issue number3
DOIs
Publication statusPublished - 2001 Jan 1

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Endophthalmitis
Osteomyelitis
Knee Joint
Low Back Pain
Arthritis
Sepsis
Diabetes Mellitus
Fever
Arthralgia
Streptococcus pneumoniae
Communicable Diseases
Joints
Magnetic Resonance Imaging
Insulin
Anti-Bacterial Agents
Physicians
Pain
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

A Case of Diabetes Mellitus with Pyogenic Vertebral Osteomyelitis, Pyogenic Arthritis of the Knee Joint, and Metastatic Bacterial Endophthalmitis Associated with Pneumococcal Sepsis. / Kodama, Keiichi; Shimada, Akira; Shimizu, Takayuki; Maruyama, Hiroshi; Saruta, Takao.

In: Journal of the Japan Diabetes Society, Vol. 44, No. 3, 01.01.2001, p. 235-240.

Research output: Contribution to journalArticle

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