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330501 The Kitakanto medical journal >
Vol.59 (2009) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/4794

Title: M ultiple Organ Failure Followed by Intrauterine Klebsiella Pneumoniae Infection Associated with Diabetes M ellitus
Authors: Nagai, Takashi
Inoue, Chiharu
Tonouchi, Kazunori
Tonooka, Naoko
Imamura, Makoto
Kaneko, Katumi
Honma, Manabu
Keywords: intrauterine infection
diabetes mellitus
multiple organ failure
Issue Date: 1-May-2009
Publisher: 北関東医学会
Citation: The Kitakanto medical journal 59(2), 151-155 (2009)
Abstract: A 49-year-old semi-conscious woman was admitted due to fever and dehydration. Disseminated intravascular coagulation (DIC), renal dysfunction and diabetic ketoacidosis were detected. Whole body computed tomography showed multiple nodular lesions in bilateral lungs and kidneys indicating septic emboli, and intrauterine lesions. We diagnosed multiple organ failure followed by intrauterine infection due to untreated diabetes mellitus. Vaginal discharge and blood culture revealed Klebsiella pneumoniae. We used multi-antibiotics for sepsis,respirator at low tidal volume ventilation,200mg of sivelestat sodium hydrate and 300mg of hydrocortisone for respiratory failure, gabexate mesilate and anti-thrombin III for DIC, transfusion for bleeding from uterus and regular insulin aiming for a blood glucose range of from 80 to 140mg/dl. When we extracted the myoma uteri,the patient’s fever subsided and the C-reactive protein became negative. Treating diabetes mellitus is important for the prevention of severe infection.
URI: http://hdl.handle.net/10087/4794
ISSN: 1343-2826
Appears in Collections:Vol.59 (2009)

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