title: Emphysematous liver abscesses complicated by septic pulmonary emboli in patients with diabetes: two cases.
abstract: 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.
authors.affiliation: Emergency Unit and Critical Care Center, Tsuyama Central Hospital, Japan. e_dai_for_all@hotmail.com
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Kuroe
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Nojima
authors.forename: Shinkichi
authors.initials: S
authors.lastname: Otani
authors.forename: Junichi
authors.initials: J
authors.lastname: Sugiyama
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Naito
authors.forename: Susumu
authors.initials: S
authors.lastname: Kawanishi
authors.forename: Shingo
authors.initials: S
authors.lastname: Hagioka
authors.forename: Naoki
authors.initials: N
authors.lastname: Morimoto
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D004322:Drainage / Q000379:methods; D004646:Emphysema / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008100:Liver Abscess / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D018570:Risk Assessment; D018805:Sepsis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents