Occult pyogenic liver abscess in an adolescent with type 2 diabetes.
Pyogenic liver abscess is a rare complication of diabetes, usually seen in adults greater than 50 years of age who have had diabetes for many years. We describe an 18-year-old male with type 2 diabetes found to have a pyogenic liver abscess caused by Klebsiella pneumoniae, and show accompanying images from his evaluation for fever of unknown origin (FUO). We conclude that in a child or adolescent with FUO and diabetes, occult pyogenic liver abscess must be considered.
Division of Pediatric Endocrinology, Department of Pediatrics, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI, 96859-5000, USA.
Regina
R
Williams
Noelle S
NS
Larson
Jordan E
JE
Pinsker
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004322:Drainage / Q000379:methods; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008099:Liver / Q000382:microbiology; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents