title: [Different clinical courses in two cases of ruptured liver abscesses depending on the presence or absence of gas-producing pathogens].
abstract: We report two cases of ruptured pyogenic liver abscesses where one patient survived and the other died. We suspected that infection with gas-producing bacteria was the cause of the latter outcome, and we reviewed 47 case reports of ruptured pyogenic liver abscesses. Of the 47 cases, we determined that 77.6% included gas-producing pathogens. Moreover, the presence of gas-producing pathogens was associated with a mortality of 22.2%, whereas there were no deaths in cases with no gas-producing pathogens.
authors.affiliation: Department of Gastroenterology, Shonankamakura General Hospital.
authors.forename: Haruki
authors.initials: H
authors.lastname: Uojima
authors.forename: Shinnosuke
authors.initials: S
authors.lastname: Tokoro
authors.forename: Sakue
authors.initials: S
authors.lastname: Masuda
authors.forename: Kou
authors.initials: K
authors.lastname: Tomishima
authors.forename: Akiko
authors.initials: A
authors.lastname: Sasaki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kimbara
authors.forename: Makoto
authors.initials: M
authors.lastname: Kako
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D005740:Gases / Q000378:metabolism; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000382:microbiology* / Q000401:mortality; D008875:Middle Aged; D011379:Prognosis; D012422:Rupture, Spontaneous
chemical_list: D005740:Gases