title: Fulminant infection with emphysematous changes in the biliary tract and air-filled liver abscesses.
abstract: Gas-producing infections are related to anaerobic bacteria and usually associated with immunosuppressive pathologies such as diabetes and have a fulminating course. We present the clinical course of a patient with diabetes whose infection progressed rapidly and ended in her dramatic death in a short period; surgical therapy was impossible, and the disease behaved similarly to type I emphysematous pyelonephritis.
authors.affiliation: Hospital Santiago Apóstol, c/Olaguibel s/n, Vitoria-Gasteiz (Alava), 01080, Spain. f.lopez@hsan.osakidetza.net
authors.forename: F
authors.initials: F
authors.lastname: López Zárraga
authors.forename: P
authors.initials: P
authors.lastname: Aisa
authors.forename: J
authors.initials: J
authors.lastname: Saenz de Ormijana
authors.forename: M
authors.initials: M
authors.lastname: Diez Orive
authors.forename: E
authors.initials: E
authors.lastname: Añorbe
authors.forename: X
authors.initials: X
authors.lastname: Aguirre
authors.forename: M
authors.initials: M
authors.lastname: Paraiso
authors.forename: M
authors.initials: M
authors.lastname: Morales Bravo
mesh_terms: D000368:Aged; D001660:Biliary Tract Diseases / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D004646:Emphysema / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000000981:diagnostic imaging* / Q000453:epidemiology; D041121:Klebsiella oxytoca; D008100:Liver Abscess / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology; D011379:Prognosis; D011859:Radiography; D013816:Thermodynamics