Related Experiment Videos
Severe multi-site abscesses and necrotizing fasciitis in a young patient with diabetes
Hong-Jie Wen1, Shou-Yan Zhu1, Peng Liao1
1Department of Orthopaedic and Trauma, The Affiliated Hospital of Yunnan University, Kunming, China.
Introduction:
Multifocal abscesses in young patients are uncommon and may signal underlying genetic or immune defects.
Case Presentation:
A 20-year-old woman with maternal diabetes and consanguinity presented with hip pain and fever after a minor fall. Examination revealed short stature, cognitive impairment, and thigh masses. Imaging confirmed abscesses, and laboratory tests revealed severe infection, anemia, hypoalbuminemia, hypothyroidism, and uncontrolled diabetes. Genetic testing identified an X-chromosome deletion affecting immune, endocrine, and neurodevelopmental genes. Multidisciplinary care (debridement, antibiotics, and glycemic or endocrine support) resulted in recovery; she was discharged on day 28 with good healing and function at 6 months.
Conclusion:
Unexplained disseminated infection in young patients warrants genetic evaluation. This deletion explains susceptibility to infection, diabetes, intellectual disability, and delayed puberty. Management requires early recognition, aggressive surgery, and multidisciplinary expertise.
Related Concept Videos
Diabetic Foot Ulcer
Complications of Diabetes Mellitus
Brain Abscess l: Introduction
Acute Pyelonephritis II: Diagnostic Studies and Management
Acute Pancreatitis II: Pathophysiology
Acute Pancreatitis II: Clinical Manifestations and Management