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

• Published in: Journal of diabetes investigation Vol. 12; no. 7; pp. 1301 - 1305
• Main Authors: Horiya, Megumi, Anno, Takatoshi, Kawada, Mayuko, Yamada, Haruki, Takahashi, Kaiou, Takenouchi, Haruka, Iwamoto, Hideyuki, Kawasaki, Fumiko, Kurokawa, Katsumi, Kaneto, Hideaki, Kaku, Kohei, Tomoda, Koichi
• Format: Journal Article
• Language: English
• Published: Japan John Wiley & Sons, Inc 01.07.2021; John Wiley and Sons Inc; Wiley
• Subjects: Abdomen; Abscesses; Anti-Bacterial Agents - therapeutic use; Antibiotics; Bacteria; Bacterial meningitis; Case Report; Case reports; Controlled conditions; Creatinine; Diabetes; Diabetes mellitus (non-insulin dependent); Diabetes Mellitus, Type 2 - blood; Diabetes Mellitus, Type 2 - microbiology; Discitis; Discitis - microbiology; Discitis - pathology; Edema; Emergency medical care; Epidural; Epidural Abscess - microbiology; Epidural Abscess - pathology; Female; Glucose; Glycemic Control - adverse effects; Granulocytes; Hemoglobin; Humans; Hyperglycemia; Inflammatory diseases; Insulin; Intensive care; Magnetic resonance imaging; Meningitis; Meningitis, Bacterial - microbiology; Meningitis, Bacterial - pathology; Middle Aged; Neutrophils; Proteins; Psoas Abscess - microbiology; Psoas Abscess - pathology; Pyogenic psoas abscess; Rehabilitation; Spinal Diseases - microbiology; Spontaneous discitis; Staphylococcal Infections - microbiology; Staphylococcal Infections - pathology; Staphylococcus infections; Streptococcus infections; Vertebrae; Spontaneous discitis; Bacterial meningitis; Pyogenic psoas abscess
• ISSN: 2040-1116; 2040-1124
• DOI: 10.1111/jdi.13461

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. 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.