Evidence map›Paper›PMID 41371649›Full record

ArticleInternal medicine (Tokyo, Japan)2026

Diabetic Ketoacidosis Triggered by Retropharyngeal Abscess Complicated by Descending Necrotizing Mediastinitis.

Daisuke Uchida, Tohru Sekiguchi, Kohei Yamahara, Hideyuki Takeuchi, Atsuko Takai, Takashi Mikamo, Naoyuki Iso-O, Kentaro Kikuchi, Masumi Hara

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Daisuke UchidaFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.
Tohru SekiguchiDepartment of Endocrinology, Metabolism and Diabetes, Teikyo University Hospital, Japan.
Kohei YamaharaDepartment of Otolaryngology, Teikyo University Hospital Mizonokuchi, Japan.
Hideyuki TakeuchiFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.
Atsuko TakaiFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.
Takashi MikamoFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.
Naoyuki Iso-OFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.
Kentaro KikuchiFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.
Masumi HaraFourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 62-year-old woman with poorly controlled type 2 diabetes mellitus presented with a fever and altered consciousness. The patient was diagnosed with diabetic ketoacidosis (DKA) with a positive blood culture for group A Streptococcus. Although the source of infection was initially unclear, contrast-enhanced computed tomography revealed a retropharyngeal abscess (RPA) and descending necrotizing mediastinitis (DNM) that required surgical drainage. RPA with DNM is rare and potentially fatal in adults and is often missed without high clinical suspicion. In severe DKA, altered mental status and hemodynamic instability may obscure the underlying infection, emphasizing the importance of a thorough evaluation.

Indexed as

Diabetic KetoacidosisMediastinitisRetropharyngeal AbscessDiabetes Mellitus, Type 2DrainageFemaleHumansMiddle AgedNecrosisStreptococcal InfectionsStreptococcus pyogenesTomography, X-Ray Computeddescending necrotizing mediastinitisdiabetic ketoacidosisdiagnostic delaygroup A Streptococcusretropharyngeal abscesssurgical drainage

Identifiers

PMID41371649
PMCPMC13521628

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.