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2. A case of polyneuropathy associated with diabetic ketoacidosis in new‐onset type 1 diabetes.

Author

Sada, Kokoro, Hidaka, Shuji, Takemaru, Makoto, Ueno, Daisuke, and Shibata, Hirotaka

Subjects
DIABETIC acidosis, TYPE 1 diabetes, POLYNEUROPATHIES, HYPOGLOSSAL nerve, FACIAL paralysis, DIABETIC neuropathies, LARYNGEAL nerve palsy
Abstract

Although diabetic peripheral neuropathy is the most common diabetic microangiopathic complication, several other neuropathy syndromes can occur in the context of diabetes. We describe a rare case of polyneuropathy associated with diabetic ketoacidosis in a patient with new‐onset type 1 diabetes. A 42‐year‐old man with diabetic ketoacidosis was admitted to our hospital with complications of respiratory and renal failure requiring mechanical ventilation and hemodialysis, respectively. After diabetic ketoacidosis improved from the critical state, he developed upper‐ and lower‐limb paralysis with sensory disturbances and pain, as well as right facial paralysis, left recurrent nerve paralysis, and left hypoglossal nerve paralysis. Autonomic nerve function was also impaired. As the pathophysiology, prevention, and treatment of polyneuropathy associated with diabetic ketoacidosis are unclear, the neurologic function of patients with diabetic ketoacidosis should be closely monitored. [ABSTRACT FROM AUTHOR]

Published
2022
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9. Acute Prevertebral Abscesses Caused by Bacterial-infected Traumatic Tooth Fractures.

Author

Matsunaga K, Takemaru M, Yamashiro K, Yoshihara-Hirata C, Inohara K, Shimoe Y, Tanaka A, Kuriyama M, and Takashiba S

Subjects
Abscess drug therapy, Aged, Anti-Bacterial Agents therapeutic use, Humans, Male, Peri-Implantitis complications, Periodontitis complications, Spinal Diseases drug therapy, Abscess etiology, Bacteremia complications, Spinal Diseases etiology, Tooth Fractures complications
Abstract

We report a case of acute prevertebral abscess caused by traumatic tooth fractures in a 77-year-old Japanese man. After being transferred to our hospital the patient was initially diagnosed with a neck hematoma; however, blood culture showed Streptococcus parasanguinis, an oral bacterium, and an MRI examination suggested prevertebral abscesses. Tooth fractures, severe periodontitis, and peri-implantitis with Streptococcus parasanguinis were observed. Antibiotics were administered and fractured teeth were extracted. The patient's condition then gradually improved. We concluded that bacteremia caused by traumatic tooth fractures induced the acute prevertebral abscesses., Competing Interests: No potential conflict of interest relevant to this article was reported.

Published
2019
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