Chory Kayla, Bobenhouse Neil, Pena Maria, Mehta Adwait
Burrell College of Osteopathic Medicine, Las Cruces, New Mexico, United States.
Department of General Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, TX, United States.
IDCases. 2020 Apr 23;20:e00759. doi: 10.1016/j.idcr.2020.e00759. eCollection 2020.
We describe a rare case of methicillin-sensitive (MSSA) septicemia with metastatic spread leading to pulmonary septic emboli, sub-capsular perinephric renal abscess, prostatic abscess, and intramuscular calf and gluteal abscess in a 48-year-old male with uncontrolled diabetes mellitus (Hemoglobin A1c of 15.2). The patient developed right lower extremity pain after a session of acupuncture followed by a three-week history of fevers, chills, abdominal pain, left flank pain, and urinary retention. Evaluation was negative for endocarditis, intracardiac shunt, intravenous drug usage, or immunodeficiency.
我们描述了一例罕见的甲氧西林敏感(MSSA)败血症病例,该病例发生转移性扩散,导致一名48岁未控制糖尿病(糖化血红蛋白为15.2)男性出现肺脓毒性栓子、肾周包膜下肾脓肿、前列腺脓肿以及小腿和臀部肌肉内脓肿。患者在一次针灸治疗后出现右下肢疼痛,随后有三周的发热、寒战、腹痛、左侧腰痛和尿潴留病史。心内膜炎、心内分流、静脉药物使用或免疫缺陷的评估结果均为阴性。