Spontaneous gas gangrene of the scrotum in patient with severe diabetic ketoacidosis

Zhang, Chu; Ma, Lizhen; Peng, Fengying; Wu, Yin; Chen, Yu; Zhan, Yuhong; Zhang, Xianfeng

doi:10.1016/j.ijdm.2010.09.004

« PreviousInternational Journal of Diabetes Mellitus
Volume 2, Issue 3 , Pages 196-198, December 2010

Spontaneous gas gangrene of the scrotum in patient with severe diabetic ketoacidosis

Department of Endocrinology and Metabolism, Hangzhou Hospital, Nanjing Medical University, China

Received 26 September 2010; accepted 30 September 2010. published online 29 October 2010.

Abstract

A 52-year-old Chinese man presented with severe diabetic ketoacidosis and markedly inflated scrotum. Computed tomographic scans of the lower pelvis show extensive gas accumulation and inflammatory changes in both sides of the scrotum. Gas gangrene of the scrotum was diagnosed and radical debridement along with other proactive anti-ketoacidosis therapy was performed immediately. Clostridium perfringens was found in cultures of necrotic tissue that verified the diagnosis and the patient was cured through multiple proactive treatments.

Keywords: Diabetic ketoacidosis, Ketosis-prone T2DM, Fournier’s gangrene, Clostridium perfringens

Abbreviations: DKA, diabetic ketoacidosis, WBCs, white blood cells, DM, diabetes mellitus, LADA, late onset autoimmune diabetes in adult, MRI, magnetic resonance imaging, CT, computed tomography