A case of diabetes mellitus diagnosed by severe orbital cellulitis / 대한내과학회지

ABSTRACT

A 28 year-old man visited our hospital for left periorbital painful swelling. He had no diabetic symptoms and no specific medical histories. We could diagnose the orbital cellulitis by CT scan of orbit and diabetes mellitus by fasting hyperglycemia. Streptococcus viridans species were identified from blood culture. The symptoms of periorbital swelling were improved after administration of broad-spectrum antibiotics and excision and drainage but small intraorbital abscess was remained after intravenous antibiotics for 6 weeks. The visual acuity and the function of extraocular muscles were intact. We experienced a case of newly diagnosed diabetes mellitus by orbital cellulitis without any other diabetic symptoms. Thus, we report the case with reviews of other literatures.