SEPTIC PULMONARY EMBOLI SECONDARY TO PYOGENIC LIVER-ABSCESS IN A DIABETIC PATIENT

被引：12
作者：
ZENDA, T
ARAKI, I
HIRAIWA, Y
MIYAYAMA, S
MASUNAGA, T
TAKEDA, Y
UENO, T
TAKEDA, R
机构：
[1] The Departments of Internal Medicine, Toyama Red Cross Hospital, Kanazawa
[2] The Second Department of Internal Medicine, School of Medicine, University of Kanazawa, Kanazawa
来源：
INTERNAL MEDICINE | 1995年 / 34卷 / 01期
关键词：
SEPTIC METASTATIC COMPLICATION; KLEBSIELLA-PNEUMONIAE; ULTRASONOGRAPHY;
D O I：
10.2169/internalmedicine.34.42
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 70-year-old woman with poorly controlled diabetes mellitus was admitted because of persistent remittent fever. Soon a liver abscess was detected as the cause of the fever by ultrasonography, and antibiotic therapy was started. However, suddenly serious dyspnea with chest and back pain developed. The morbid condition was definitely diagnosed as septic pulmonary emboli (SPE) with pulmonary perfusion scan. It should be recognized that liver abscess can be a latent focus of systemic metastatic complications such as SPE, and not only early detection but also prompt appropriate drainage of liver abscesses is essential.
引用
收藏
页码：42 / 45
页数：4
相关论文
共 14 条
  • [1] Chew S.K., Lim H.S., Mah P.K., Et al., Pyogenic hepatic abscess and diabetes mellitus, Ann Acad Med, 14, (1985)
  • [2] Barton E.N., Daisley H., Gilbert D.T., Et al., Diabetes mellitus and Klebsiella pneumoniae liver abscess in adults, Trop Geogr Med, 43, (1991)
  • [3] Pitt H.A., Zuidema G.D., Factors influencing mortality in the treatment of pyogenic hepatic abscess, Surg Gynecol Obstet, 140, (1975)
  • [4] Cheng D.L., Liu Y.C., Yen M.Y., Et al., Septic metastatic lesions of pyogenic liver abscess, Arch Intern Med, 151, (1991)
  • [5] Liu Y.C., Cheng D.L., Lin C.L., Klebsiella pneumoniae liver abscess associated with septic endophthalmitis, Arch Intern Med, 146, (1986)
  • [6] Liao H.R., Lee H.W., Leu H.S., Endogenous Klebsiella pneumoniae endophthalmitis in diabetic patients, Can J Ophthalmol, 27, (1992)
  • [7] Gary L.G., Kimball I.M., Charles R.S., Septic pulmonary embolization, Surg Gynecol Obstet, 144, (1977)
  • [8] Machimura H., Kaneshige H., Tamura S., Et al., Two cases of diabetes mellitus with septic pulmonary embolism, Saishin Igaku, 44, (1989)
  • [9] Kuhlman J.E., Fishman E.K., Teigen C., Pulmonary septic emboli: Diagnosis with CT, Radiology, 174, (1990)
  • [10] Akimitsu T., Okeda T., Horita M., Et al., Cases of giant pyogenic liver abscess accompanying NIDDM, J Japan Diab Soc, 36, (1993)
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