PubTransformer

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PMID- 28264703
OWN - NLM
STAT- MEDLINE
DA  - 20170307
DCOM- 20170310
LR  - 20170312
IS  - 1756-0500 (Electronic)
IS  - 1756-0500 (Linking)
VI  - 10
IP  - 1
DP  - 2017 Mar 06
TI  - Life-threatening emphysematous liver abscess associated with poorly controlled
      diabetes mellitus: a case report.
PG  - 117
LID - 10.1186/s13104-017-2445-8 [doi]
AB  - BACKGROUND: Emphysematous liver abscesses are defined as liver abscesses
      accompanied by gas formation. The fatality rate is extremely high at 27%,
      necessitating prompt intensive care. CASE PRESENTATION: The patient was a
      69-year-old Japanese man with type 2 diabetes. He visited the emergency
      outpatient department for fever and general malaise that had been ongoing for 2
      weeks. Abdominal computed tomography revealed an abscess 5 cm in diameter
      accompanied by gas formation in the right hepatic lobe. Markedly impaired glucose
      tolerance was observed with a blood sugar level of 571 mg/dL and a glycated
      hemoglobin level of 14.6%. The patient underwent emergency percutaneous abscess
      drainage, and intensive care was subsequently initiated. Klebsiella pneumoniae
      was detected in both the abscess cavity and blood cultures. The drain was removed
      3 weeks later, and the patient was discharged. CONCLUSION: Emphysematous liver
      abscesses are often observed in patients with poorly controlled diabetes, and the
      fatality rate is extremely high. Fever and malaise occasionally mask
      life-threatening infections in diabetic patients, necessitating careful
      examination.
FAU - Takano, Yuichi
AU  - Takano Y
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
      yuichitakano1028@yahoo.co.jp.
FAU - Hayashi, Masafumi
AU  - Hayashi M
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Niiya, Fumitaka
AU  - Niiya F
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Nakanishi, Toru
AU  - Nakanishi T
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Hanamura, Shotaro
AU  - Hanamura S
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Asonuma, Kunio
AU  - Asonuma K
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Yamamura, Eiichi
AU  - Yamamura E
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Gomi, Kuniyo
AU  - Gomi K
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Kuroki, Yuichiro
AU  - Kuroki Y
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Maruoka, Naotaka
AU  - Maruoka N
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Inoue, Kazuaki
AU  - Inoue K
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
FAU - Nagahama, Masatsugu
AU  - Nagahama M
AD  - Division of Gastroenterology, Department of Internal Medicine, Showa University
      Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170306
PL  - England
TA  - BMC Res Notes
JT  - BMC research notes
JID - 101462768
SB  - IM
MH  - Aged
MH  - Diabetes Complications/*diagnosis/etiology
MH  - Diabetes Mellitus, Type 2/*complications
MH  - Emphysema/*diagnosis/etiology
MH  - Humans
MH  - Klebsiella Infections/*diagnosis
MH  - Klebsiella pneumoniae/*pathogenicity
MH  - Liver Abscess, Pyogenic/*diagnosis/etiology
MH  - Male
PMC - PMC5340034
OTO - NOTNLM
OT  - *Diabetes mellitus
OT  - *Emphysematous liver abscess
OT  - *Gas-forming pyogenic liver abscesses
EDAT- 2017/03/08 06:00
MHDA- 2017/03/11 06:00
CRDT- 2017/03/08 06:00
PHST- 2016/11/06 [received]
PHST- 2017/03/01 [accepted]
AID - 10.1186/s13104-017-2445-8 [doi]
AID - 10.1186/s13104-017-2445-8 [pii]
PST - epublish
SO  - BMC Res Notes. 2017 Mar 6;10(1):117. doi: 10.1186/s13104-017-2445-8.

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