The First Diagnosis of Sepsis in Type 2 Diabetes with Pyogenic Osteomyelitis:a Case Report
ZHOU Jia-yan
JIANG Xiao-hong
WANG Long
Abstract：Objective To investigate the clinical features of type 2 diabetes with pyogenic osteomyelitis to reduce the clinical misdiagnosis and missed diagnosis. Methods A case of type 2 diabetes mellitus with pyogenic osteomyelitis in our hospital were retrospectively analyzed. Results A 60-year-old male patient with type 2 diabetes for 7 years, suffered waist pain 2 months before and got fever for 1 month. Laboratory tests revealed the level of white blood cell,C reactive protein and Procalcitonin were elevated. The blood culture prompted Escherichia coli with evidence of sepsis. After the anti-infection treat-ment, the inflammatory indicators returned to normal and blood culture turned negative. But the patients followed progressive lower back pain in the course of disease and eased after bed rest. X rays and CT suggested lumbar degenerative diseases. Be-cause of low back pain symptoms and increased fever, the patient came to our hospital. We used intervertebral disc pathology to confirm the diagnosis of pyogenic osteomyelitis. After local surgery and anti-infection treatment, the patient recovered. Conclusion For diabetes with fever, low back pain patients should be alert to the possibility of consolidation of pyogenic os-teomyelitis. Clinicians should be based on diseases' change timely to avoid the disease missed or misdiagnosed.
Keywords：OsteomyelitisDiabetes mellitustype 2MisdiagnosisSepsisIntervertebral disc displacement
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 44-46 )