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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
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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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