Humeral Osteomyelitis due to Staphylococcal aureus Infection as the Initial Presentation of Diabetes Mellitus.

Baek,  Cho Ok; Kim,  Ki Hoi; Song,  Sun Kyung; Lee,  Jong Myoung; Kim,  Ji Hye

doi:2015.16.3.218

J Korean Diabetes > Volume 16(3); 2015 > Article

Case Report

The Journal of Korean Diabetes 2015;16(3):218-224.
DOI: https://doi.org/10.4093/jkd.2015.16.3.218 Published online September 30, 2015.

첫 증상으로 황색 포도상 구균에 의한 상완골 골수염을 나타낸 당뇨병 환자 1예

백초옥, 김기회, 송선경, 이종명, 김지혜

Humeral Osteomyelitis due to Staphylococcal aureus Infection as the Initial Presentation of Diabetes Mellitus.

Cho Ok Baek, Ki Hoi Kim, Sun Kyung Song, Jong Myoung Lee, Ji Hye Kim

¹Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. wisdom0165@gmail.com
²Department of Orthopedics, Presbyterian Medical Center, Jeonju, Korea.

Abstract

Diabetes mellitus is a common disorder and presents in different ways. Shoulder pain is a common musculoskeletal complaint, especially in middle-aged or older-aged men. While it is widely accepted that diabetics have an increased propensity to develop infections, a diagnosis of osteomyelitis of the humerus as the etiology of constant shoulder pain might be delayed, as occurred in this case study, until patients' develop clear signs of infection. Here, we describe a case of subacute osteomyelitis as the first physical symptom of diabetes; the possibility of osteomyelitis should therefore be investigated in all patients with diabetes mellitus who develop joint or bone-related pain.

Key Words: Diabetes mellitus, Humerus, Osteomyelitis