[Hepatic abscess in diabetics, 2 case reports].
BACKGROUND
Over the past few years, the hepatic abscess appears as a privileged septic localisation in the case of diabetes mellitus, particularly in the elderly.


METHODS
Two, 75 year-old and 82 year-old, diabetic patients were hospitalised for non-ketonic decompensation of type 2 diabetes mellitus. Examination revealed a sub-febrile state, the absence of clinical hepatic signs and a biological infectious syndrome The abscesses were discovered during the systematic hepatic sonography. Liver puncture was only possible in one patient and revealed Klebsiella oxytoca. The progression with antibiotics alone in one patient, and associated with surgical draining in the other, was positive. The origin appeared to be bilary in one patient and arterial on the other.


CONCLUSIONS
These case reports underline the interest of the systematic evocation of an abscessed hepatic localisation in cases of imbalance in diabetes, particularly when associated with an unexplained infectious syndrome.
Saad
F
F
Service d'endocrinologie-diabétologie du Pr. Larbi Chaieb, CHU Farhat Hached, Sousse, Tunisia.
Ach
K
K
Dallel Youssef
N
N
Maarouf
A
A
Chaieb Chadli
M
M
Chaieb
L
L
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D018450:Disease Progression; D006801:Humans; D008100:Liver Abscess / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D008297:Male
D000900:Anti-Bacterial Agents