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Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus

The main manifestations of type 2 diabetes mellitus are excessive drinking, polyphagia, polyuria and wasting or weight loss in a short period of time, but it is rare to have persistent fever of unknown origin as the main manifestation. This case report describes a 68-year-old male patient with type...

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Autores principales: Dong, Nanxi, Wang, Fujun, Li, Yuekao, Ma, Hongfang, Xing, Na, Ding, Haixia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721715/
https://www.ncbi.nlm.nih.gov/pubmed/34932405
http://dx.doi.org/10.1177/03000605211066443
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author Dong, Nanxi
Wang, Fujun
Li, Yuekao
Ma, Hongfang
Xing, Na
Ding, Haixia
author_facet Dong, Nanxi
Wang, Fujun
Li, Yuekao
Ma, Hongfang
Xing, Na
Ding, Haixia
author_sort Dong, Nanxi
collection PubMed
description The main manifestations of type 2 diabetes mellitus are excessive drinking, polyphagia, polyuria and wasting or weight loss in a short period of time, but it is rare to have persistent fever of unknown origin as the main manifestation. This case report describes a 68-year-old male patient with type 2 diabetes mellitus presenting with unexplained fever with persistent exacerbation and a cystic lesion in the right costophrenic horn on abdominal computed tomography (CT). A cytoculture examination of the puncture fluid suggested that the infection was due to Salmonella Dublin. The patient was treated with drainage of the abscess in the right costophrenic angle area, which then healed successfully. These findings suggest that Salmonella Dublin infection should be considered when a patient with type 2 diabetes mellitus presents with an unexplained persistent fever. At the same time, CT-guided abscess puncture can be performed to improve the patient's symptoms, aid diagnosis and improve the quality of life.
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spelling pubmed-87217152022-01-04 Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus Dong, Nanxi Wang, Fujun Li, Yuekao Ma, Hongfang Xing, Na Ding, Haixia J Int Med Res Case Reports The main manifestations of type 2 diabetes mellitus are excessive drinking, polyphagia, polyuria and wasting or weight loss in a short period of time, but it is rare to have persistent fever of unknown origin as the main manifestation. This case report describes a 68-year-old male patient with type 2 diabetes mellitus presenting with unexplained fever with persistent exacerbation and a cystic lesion in the right costophrenic horn on abdominal computed tomography (CT). A cytoculture examination of the puncture fluid suggested that the infection was due to Salmonella Dublin. The patient was treated with drainage of the abscess in the right costophrenic angle area, which then healed successfully. These findings suggest that Salmonella Dublin infection should be considered when a patient with type 2 diabetes mellitus presents with an unexplained persistent fever. At the same time, CT-guided abscess puncture can be performed to improve the patient's symptoms, aid diagnosis and improve the quality of life. SAGE Publications 2021-12-21 /pmc/articles/PMC8721715/ /pubmed/34932405 http://dx.doi.org/10.1177/03000605211066443 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Dong, Nanxi
Wang, Fujun
Li, Yuekao
Ma, Hongfang
Xing, Na
Ding, Haixia
Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus
title Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus
title_full Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus
title_fullStr Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus
title_full_unstemmed Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus
title_short Right costophrenic angle abscess due to Salmonella Dublin infection in combination with type 2 diabetes mellitus
title_sort right costophrenic angle abscess due to salmonella dublin infection in combination with type 2 diabetes mellitus
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721715/
https://www.ncbi.nlm.nih.gov/pubmed/34932405
http://dx.doi.org/10.1177/03000605211066443
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