Isobe Hayato, Anno Takatoshi, Kawasaki Fumiko, Kaku Kohei, Kaneto Hideaki
Department of General Internal Medicine 1, Kawasaki Medical School, Okayama, JPN.
Department of Diabetic Medicine, Kurashiki Central Hospital, Kurashiki, JPN.
Cureus. 2025 Jul 18;17(7):e88257. doi: 10.7759/cureus.88257. eCollection 2025 Jul.
We present a case of sepsis in a patient with type 1 diabetes mellitus (T1DM) who had poor glycemic control. Once the sepsis and infection had improved, we examined the patient for colorectal adenoma or carcinoma and detected a stalked polyp with colonoscopy. Therefore, this case underscores the importance of actively screening for malignant colonic diseases in patients with infection. We believe that clinicians should be aware of this association as it demonstrates how to perform gastroenterological follow-up for patients infected with , particularly those with poorly controlled DM.
我们报告一例1型糖尿病(T1DM)患者发生脓毒症且血糖控制不佳的病例。脓毒症和感染改善后,我们对该患者进行了结直肠腺瘤或癌的检查,并通过结肠镜检查发现了一个带蒂息肉。因此,该病例强调了对感染患者积极筛查结肠恶性疾病的重要性。我们认为临床医生应意识到这种关联,因为它展示了如何对感染患者,尤其是糖尿病控制不佳的患者进行胃肠病学随访。