Mohanad Elfishawi
Egypt
Case Report
Diabetic Ketoacidosis with Two Life Threatening Infections: Mucormycosis, and Bilateral Emphysematous Pyelonepritis, Preciptating Erythema Nodosum Leprosum as the Initial Presentation of Diabetes
Author(s): Ahmed Daoud, Amira Elbendary, Mohanad Elfishawi, Mahmoud Rabea, Mostafa Alfishawy, Sholkamy Amany MD and Wasfy Ayda MDAhmed Daoud, Amira Elbendary, Mohanad Elfishawi, Mahmoud Rabea, Mostafa Alfishawy, Sholkamy Amany MD and Wasfy Ayda MD
Emphysematous pyelonephritis is an acute necrotizing renal and perirenal infection, caused by gas forming organism. Mucormycosis is an opportunistic aggressive fungal infection causing tissue thrombosis and necrosis. Erythema nodosum leprosum reaction is an inflammatory reaction occurring in borderline and lepromatous leprosy before, during or after multidrug treatment, where immune complexes deposit in various organs resulting in considerable damage to the organs that were site of deposition. Both emphysematous pyelonephritis and mucormycosis are infections that occur principally in diabetics, especially with poor control of blood sugar. Herein we report a 27 year old woman presenting to the emergency department with diabetic ketoacidosis as a first presentation of diabetes, where array of investigations revealed emphysematous pyelonephritis, palatal mucormycosis, and erythema nodosu.. View More»
