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Related Experiment Videos

Type 2 diabetes complicated by multiple pyomyositis.

Masayasu Yoneda1, Kiyoshi Oda

  • 1Department of Internal Medicine, Metabolism and Endocrinology, Chugoku Rosai General Hospital, Kure, Hiroshima.

Internal Medicine (Tokyo, Japan)
|March 15, 2003
PubMed
Summary

Diabetic patients with poor oral health, including dental caries and periodontitis, are at risk for pyomyositis. Prompt treatment involving antibiotics, pus drainage, and tooth extraction is crucial for managing this condition.

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Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Dentistry

Background:

  • Diabetes mellitus is a chronic condition associated with increased susceptibility to infections.
  • Poor glycemic control can exacerbate complications, including impaired immune response and delayed wound healing.
  • Oral health is often compromised in diabetic individuals, leading to conditions like dental caries and periodontitis.

Observation:

  • A 40-year-old male patient with poorly controlled diabetes presented with fever, muscular swelling, and pain.
  • Computed Tomography (CT) revealed multiple intramuscular abscesses, indicative of pyomyositis.
  • The patient had a history of significant dental caries and recurrent periodontitis.

Findings:

  • The patient received antibiotic therapy and underwent surgical pus drainage for the intramuscular abscesses.

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  • Intraoral infection was identified as the suspected source of the pyomyositis.
  • Six teeth were extracted to address the severe dental issues contributing to the infection.

    • Implications:

    • This case highlights the critical link between uncontrolled diabetes, poor oral hygiene, and the development of severe infections like pyomyositis.
    • Routine dental check-ups and management of dental caries and periodontitis are essential components of comprehensive care for diabetic patients.
    • Diabetic patients should also be educated on monitoring for lower extremity injuries, as compromised circulation can lead to complications.