Emphysematous Liver Abscesses Complicated by Septic Pulmonary Emboli in Patients with Diabetes: Two Cases
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- Hagiya Hideharu
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Kuroe Yasutoshi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Nojima Hiroyoshi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Otani Shinkichi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Sugiyama Junichi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Naito Hiromichi
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Kawanishi Susumu
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Hagioka Shingo
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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- Morimoto Naoki
- Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan
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抄録
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.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 52 (1), 141-145, 2013
一般社団法人 日本内科学会