A Case of Gas-Forming Liver Abscess with Diabetes Mellitus

作者：Tatsuta Tetsuya; Wada Toyohito; Chinda Daisuke; Tsushima Kiyoto; Sasaki Yoshio; Shimoyama Tadashi^*; Fukuda Shinsaku

来源：Internal Medicine, 2011, 50(20): 2329-2332.

DOI：10.2169/internalmedicine.50.5686

• Gas-forming pyogenic liver abscess (GFPLA)
• diabetes mellitus
• Klebsiella pneumoniae

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.

• 出版日期2011