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

doi:10.2169/internalmedicine.52.8737

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 journal › Article › peer-review

11 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 language	English
Pages (from-to)	141-145
Number of pages	5
Journal	Internal Medicine
Volume	52
Issue number	1
DOIs	https://doi.org/10.2169/internalmedicine.52.8737
Publication status	Published - 2013
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Internal Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.2169/internalmedicine.52.8737

Cite this

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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.",

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T1 - Emphysematous liver abscesses complicated by septic pulmonary emboli in patients with diabetes

T2 - Two cases

AU - Hagiya, Hideharu

AU - Kuroe, Yasutoshi

AU - Nojima, Hiroyoshi

AU - Otani, Shinkichi

AU - Sugiyama, Junichi

AU - Naito, Hiromichi

AU - Kawanishi, Susumu

AU - Hagioka, Shingo

AU - Morimoto, Naoki

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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.

KW - Diabetes mellitus

KW - Emphysematous liver abscess

KW - Gas-forming liver abscesses

KW - Klebsiella pneumoniae

KW - Septic pulmonary emboli

KW - String test

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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