A Case of Gas-Forming Liver Abscess with Diabetes Mellitus

Tetsuya Tatsuta; Toyohito Wada; Daisuke Chinda; Kiyoto Tsushima; Yoshio Sasaki; Tadashi Shimoyama; Shinsaku Fukuda

doi:10.2169/internalmedicine.50.5686

CASE REPORTS

A Case of Gas-Forming Liver Abscess with Diabetes Mellitus

Tetsuya Tatsuta, Toyohito Wada, Daisuke Chinda, Kiyoto Tsushima, Yoshio Sasaki, Tadashi Shimoyama, Shinsaku Fukuda

Author information

Keywords: Gas-forming pyogenic liver abscess (GFPLA), diabetes mellitus, Klebsiella pneumoniae

JOURNAL OPEN ACCESS

2011 Volume 50 Issue 20 Pages 2329-2332

DOI https://doi.org/10.2169/internalmedicine.50.5686

Details

Abstract

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.

Corresponding author

Register with J-STAGE for free!