A Case of Gas-Forming Liver Abscess with Diabetes Mellitus

被引:5
|
作者
Tatsuta, Tetsuya [1 ]
Wada, Toyohito [2 ]
Chinda, Daisuke [1 ]
Tsushima, Kiyoto [1 ]
Sasaki, Yoshio [2 ]
Shimoyama, Tadashi [1 ]
Fukuda, Shinsaku [1 ]
机构
[1] Hirosaki Univ, Grad Sch Med, Dept Gastroenterol, Hirosaki, Aomori, Japan
[2] Aomori City Hosp, Dept Internal Med 3, Hirosaki, Aomori, Japan
关键词
Gas-forming pyogenic liver abscess (GFPLA); diabetes mellitus; Klebsiella pneumoniae; KLEBSIELLA-PNEUMONIAE;
D O I
10.2169/internalmedicine.50.5686
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 43-year-old man was admitted to our hospital with right hypochondriac and epigastric pain. An abdominal radiograph showed a large niveau in the right subphrenic space. An abdominal CT scan demonstrated a large liver abscess (diameter, 13 cm) with gas formation. Klebsiella pneumoniae cells were isolated from the abscess, and the patient was treated with antibiotics and percutaneous drainage. It is very important to treat gas-forming liver abscess immediately, because subsequent bacteremia and septic shock are frequently noted, and the associated mortality rate is high.
引用
收藏
页码:2329 / 2332
页数:4
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