An Elderly Case of Type 2 Diabetes which Developed in Association with Oral and Esophageal Candidiasis

A 75-year-old woman who had been healthy except for mild glycemia and lipidemia discovered three and a half months before admission experienced severe dysphagia secondary to oral and esophageal candidiasis. She eventually developed diabetic hyperosmolar syndrome and ketoacidosis. Since anti-GAD anti...

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Veröffentlicht in:Internal Medicine 2007, Vol.46(7), pp.387-390
Hauptverfasser: Takasawa, Hirofumi, Takahashi, Yoshihiko, Abe, Makiko, Osame, Keiichiro, Watanabe, Shigeru, Hisatake, Tomoko, Yasuda, Kazuki, Kaburagi, Yasushi, Kajio, Hiroshi, Noda, Mitsuhiko
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container_end_page 390
container_issue 7
container_start_page 387
container_title Internal Medicine
container_volume 46
creator Takasawa, Hirofumi
Takahashi, Yoshihiko
Abe, Makiko
Osame, Keiichiro
Watanabe, Shigeru
Hisatake, Tomoko
Yasuda, Kazuki
Kaburagi, Yasushi
Kajio, Hiroshi
Noda, Mitsuhiko
description A 75-year-old woman who had been healthy except for mild glycemia and lipidemia discovered three and a half months before admission experienced severe dysphagia secondary to oral and esophageal candidiasis. She eventually developed diabetic hyperosmolar syndrome and ketoacidosis. Since anti-GAD antibody was negative and her diabetes was controlled with a moderate dose of insulin, we made a diagnosis of type 2 diabetes. Her only risk factors for candidiasis were hyperglycemia, age, and continuous denture use. The fact that her diabetes developed in association with oral candidiasis supports the hypothesis that there is a bidirectional interrelationship between diabetes and oral infection.
doi_str_mv 10.2169/internalmedicine.46.1898
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subjects Aged
Antifungal Agents - therapeutic use
candidiasis
Candidiasis, Oral - complications
Candidiasis, Oral - diagnosis
Candidiasis, Oral - drug therapy
denture
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - drug therapy
Esophageal Diseases - complications
Esophageal Diseases - drug therapy
Esophageal Diseases - microbiology
Female
Follow-Up Studies
Humans
hyperosmolar syndrome
Hypoglycemic Agents - therapeutic use
ketoacidosis
Risk Assessment
Severity of Illness Index
title An Elderly Case of Type 2 Diabetes which Developed in Association with Oral and Esophageal Candidiasis
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