Case 38-1982

Abstract

Presentation of CaseA 66-year-old woman was admitted to the hospital because of facial swelling.There was a six-year history of diabetes mellitus, which was regulated with daily injections of NPH insulin, 34 units. The patient performed no urine tests but had never required admission to the hospital for control of the disease. Nine months before admission she entered another hospital for treatment of otitis media. She was well thereafter until three weeks before entry, when a toothache developed in the left upper molar region. The pain worsened, and two days before entry she consulted a dentist, who made a . . .