Femoral Subcutaneous Abscess Secondary to Septic Trochanteric Bursitis in a Type 2 Diabetic Patient: Case Report

Abstract

We report a case of diabetes complicated by a femoral subcutaneous abscess secondary to septic trochanteric bursitis. A66-year-old woman with a17-year history of untreated diabetes mellitus admitted for severe left leg pain was found in laboratory examination on admission to have leukocytosis and high serum CRP. Despite intensive insulin treatment with antibiotics and hyperbolic oxygen therapy, leg swelling and pain continued and worsened. Computed tomography (CT) showed a large abscess around the thighbone. On hospital day26, the abscess was curettaged and drained. She was diagnosed with trochanteric bursitis by radiography using a contrast medium during surgery. After the operation, she improved rapidly. Septic trochanteric bursitis is rare as a complication of diabetes mellitus. In this patient, poorly controlled diabetes was thought to have caused septic trochanteric bursitis and the femoral subcutaneous abscess.