Emphysematous liver abscesses complicated by septic pulmonary emboli in patients with diabetes: Two cases

Hideharu Hagiya, Yasutoshi Kuroe, Hiroyoshi Nojima, Shinkichi Otani, Junichi Sugiyama, Hiromichi Naito, Susumu Kawanishi, Shingo Hagioka, Naoki Morimoto

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

An emphysematous liver abscess is a fatal condition that often occurs in patients with uncontrolled diabetes mellitus. I herein describe two cases of Klebsiella pneumoniae-induced emphysematous liver abscesses complicated by septic pulmonary emboli in patients with poorly controlled diabetes mellitus. Both patients showed hemoglobin A1c levels of more than 10% and did not present with any abdominal symptoms on admission. However, they were diagnosed and successfully treated with percutaneous transhepatic abscess drainage and antibiotics. This fatal disease should be taken into consideration in patients with uncontrolled diabetes mellitus who suffer from prolonged fevers and uncharacteristic general malaise.

Original languageEnglish
Pages (from-to)141-145
Number of pages5
JournalInternal Medicine
Volume52
Issue number1
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Keywords

  • Diabetes mellitus
  • Emphysematous liver abscess
  • Gas-forming liver abscesses
  • Klebsiella pneumoniae
  • Septic pulmonary emboli
  • String test

ASJC Scopus subject areas

  • Internal Medicine

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