Internal Medicine
CASE REPORTS
A Case of Gas-Forming Liver Abscess with Diabetes Mellitus
Tetsuya TatsutaToyohito WadaDaisuke ChindaKiyoto TsushimaYoshio SasakiTadashi ShimoyamaShinsaku Fukuda
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JOURNALS OPEN ACCESS

Volume 50 (2011) Issue 20 Pages 2329-2332

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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.

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© 2011 by The Japanese Society of Internal Medicine
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