Multiple Deep Muscle Abscesses in Type 2 Diabetes in the Elderly: Report of One Case and Literature Review

doi:10.12114/j.issn.1007-9572.2022.0508

Abstract

Abstract:

Older adults with diabetes often have comorbidities, and are prone to acute infection. Abscess is a serious infectious disease, and untimely treatment of which may lead to sepsis and septic shock, endangering the life. Most studies on abscesses in diabetes focus on visceral abscess, among which the commonly seen are liver abscess and lung abscess, while multiple muscle abscesses have been rarely reported. We reported the diagnosis and treatment process of an older case of type 2 diabetes complicated with multiple deep muscle abscesses, and investigated the pathogenesis characteristics by referring to relevant literature, providing insights into clinical practice.

Key words: Diabetes mellitus, Aged, Muscles, Abscess, Case report, Literature analysis

摘要：

老年糖尿病患者常合并多种慢性疾病，是急性感染的高发人群。脓肿是一种严重的感染性疾病，不及时治疗可能会导致脓毒血症、感染性休克从而危及生命。糖尿病合并脓肿的研究较多集中在内脏脓肿，常见有肝脓肿、肺脓肿等，而关于多发肌肉内脓肿报道较少。本文报道了1例老年糖尿病合并多发肌肉深部脓肿患者的诊疗过程，并通过查阅相关文献，了解其发病特点，为后续临床工作提供一定的参考。

关键词: 糖尿病, 老年人, 肌肉, 脓肿, 病例报道, 文献分析

ZHAO Xiaohua,DU Lin,GAO Shengnan, et al. Multiple Deep Muscle Abscesses in Type 2 Diabetes in the Elderly: Report of One Case and Literature Review[J]. Chinese General Practice, 2023, 26(29): 3715-3718. DOI: 10.12114/j.issn.1007-9572.2022.0508.
赵晓华,杜林,高胜男等. 老年糖尿病合并多发肌肉深部脓肿一例报道并文献分析[J]. 中国全科医学, 2023, 26(29): 3715-3718. DOI: 10.12114/j.issn.1007-9572.2022.0508.

Figures/Tables 6

Figure 1 Multiple sporadic subcutaneous muscle abscesses in four limbs

Figure 2 Spiral CT plain scan of the chest

Figure 3 MRI results of the right lower leg

Figure 4 Image of ultrasound-guided puncture of the abscess in the right calf muscle

Figure 5 Specimen of the abscess in the right calf muscle punctured under ultrasound guidance

Figure 6 Histopathology of the abscess in the right calf muscle

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