ECE2015 Eposter Presentations Clinical Cases–Thyroid/Other (101 abstracts)
Background: Gas-forming pyogenic liver abscess is an uncommon, life-threatening infection that is usually found in poorly-controlled diabetic patients. Here, we experienced a case of gas-forming pyogenic liver abscess in diabetes caused by Klebsiella pneumoniae.
Clinical case: A 77-year-old man with 25-year history of diabetes was admitted due to fever for 2 days. On the physical examination, right upper quadrant tenderness of the abdomen was present. Initial laboratory results were: WBC 29 030/mm3 (Neutrophil 94.3%), C-reactive protein 19.21 mg/dl, Procalcitonin 12.3 ng/ml, BUN/Cr 52.7/2.16 mg/dl, AST/ALT 271/295 IU/l, T-Bil 1.78 mg/dl, serum glucose 448 mg/dl. Abdominal CT showed 1.54.4 cm sized multiple gas-forming liver abscesses. Even though culture was negative from drained pus, K.pneumoniae was identified at the blood. The patient was successfully managed with broad-spectrum antibiotics and percutaneous drainage.
Conclusion: The clinical outcome of gas-forming liver abscess appears to be fatal, therefore, an early aggressive therapeutic strategies, such as percutaneous drainage or surgical intervention are needed.