Abstract
Pyogenic osteomyelitis is often accompanied by diabetes, but the disease in the clavicula has rarely been reported. We describe an unusual case of a 53-year-old man with poorly controlled non-insulin-dependent diabetes mellitus who presented with pyogenic clavicular osteomyelitis and developed DIC and acute renal failure. A 67Ga scintigram revealed an abnormal accumulation of the isotope in the right clavicula, where magnetic resonance imaging (MRI) showed inflammatory changes. This suggests that a 67Ga scintigram and MRI are of clinical value for the early diagnosis of the disease. Antibiotic chemotherapy with gamma-globulin and gebexate mesilate, and hemodialysis almost cured his serious condition.
MeSH terms
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Acute Kidney Injury / complications*
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Acute Kidney Injury / therapy
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Anti-Bacterial Agents
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Anticoagulants / therapeutic use
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Clavicle* / diagnostic imaging
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Diabetes Mellitus, Type 2 / complications*
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Diabetes Mellitus, Type 2 / drug therapy
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Disseminated Intravascular Coagulation / complications*
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Disseminated Intravascular Coagulation / drug therapy
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Drug Therapy, Combination / therapeutic use
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Follow-Up Studies
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Gabexate / therapeutic use
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Gallium Radioisotopes
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Humans
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Hypoglycemic Agents / therapeutic use
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Immunization, Passive / methods
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Insulin / therapeutic use
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Osteomyelitis / complications*
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Osteomyelitis / diagnosis
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Osteomyelitis / therapy
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Radionuclide Imaging
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Renal Dialysis
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gamma-Globulins / therapeutic use
Substances
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Anti-Bacterial Agents
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Anticoagulants
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Gallium Radioisotopes
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Hypoglycemic Agents
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Insulin
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gamma-Globulins
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Gabexate