Pyogenic liver abscess caused by Bacteroides fragilis in a type 2 diabetes patient presenting with fever of unknown origin

2015 ◽  
Vol 19 (2) ◽  
pp. 104-107
Author(s):  
Ahmet Ünal ◽  
Serkan Öncü ◽  
Okay Başak
Keyword(s):  
Type 2 Diabetes ◽  
Liver Abscess ◽  
Fever Of Unknown Origin ◽  
Bacteroides Fragilis ◽  
Unknown Origin ◽  
Pyogenic Liver Abscess ◽  
Diabetes Patient

Pyogenic Liver Abscess in Normal Children With Fever of Unknown Origin

PEDIATRICS ◽  
1976 ◽  
Vol 58 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Sheldon L. Kaplan ◽  
Ralph D. Feigin
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Pyogenic Liver Abscess ◽  
Liver Function Tests ◽  
Blood Cultures ◽  
Normal Children ◽  
The Past ◽  
Liver Abscesses

Solitary pyogenic hepatic abscesses were identified as the cause of fever, abdominal pain, and hepatomegaly in two otherwise normal children who were seen at St. Louis Children's Hospital during the past year. Liver function tests were normal and blood cultures were negative in both patients. These cases illustrate that pyogenic liver abscess may occur in normal children and should be considered whenever fever of unknown origin is associated with abdominal complaints. Only in this way can we hope to improve upon the results cited previously, namely that the majority of liver abscesses remain undiagnosed during life.

scholarly journals A cohort study of age and sex specific risk of pyogenic liver abscess incidence in patients with type 2 diabetes mellitus

Medicine ◽  
2019 ◽  
Vol 98 (17) ◽  
pp. e15366 ◽  
Author(s):  
Ming-Chung Ko ◽  
Wei-Hung Lin ◽  
Santi Martini ◽  
Ya-Hui Chang ◽  
Chang-Ta Chiu ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cohort Study ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Specific Risk ◽  
Age And Sex

scholarly journals Pyogenic Liver Abscess Risk in Patients With Newly Diagnosed Type 2 Diabetes Mellitus: A Nationwide, Population-Based Cohort Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Tzu-Yuan Wang ◽  
Hsueh-Chou Lai ◽  
Hsin-Hung Chen ◽  
Mei-Lin Wang ◽  
Ming-Chia Hsieh ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Cohort Study ◽  
Incidence Rate ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess ◽  
Newly Diagnosed ◽  
Comparison Cohort

Background: To date, no comprehensive epidemiological study exists on pyogenic liver abscess (PLA) risk in patients with newly diagnosed type 2 diabetes mellitus (T2DM) worldwide.Methods: We conducted a retrospective cohort study by using data from Taiwan National Health Insurance Research Database (NHIRD) to examine the association between newly diagnosed T2DM and PLA. The T2DM cohort included patients newly diagnosed as having T2DM (ICD-9-CM:250) from 2000 to 2009, with follow-up until December 31, 2011. The comparison cohort was then recruited through 1:4 random frequency matching with the T2DM cohort. Finally, the adjusted hazard ratios for PLA were compared between the T2DM and comparison cohorts, which included 44,728 patients with T2DM and 178,912 patients without DM respectively.Results: In T2DM cohort, 166 patients were diagnosed as having PLA (incidence rate = 5.87 per 10,000 person-years) and in comparison cohort, 238 patients were diagnosed as having PLA (incidence rate = 2.06 per 10,000 person-years). The T2DM cohort exhibited higher PLA risk than did the comparison cohort (hazard ratio = 2.83, 95% confidence interval = 2.32–3.46). Furthermore, the adjusted hazard ratio for PLA risk in T2DM cohort was the highest in those who were younger, man and with duration of DM <2 years. In the T2DM cohort, the most common PLA causative agent was Klebsiella pneumonia (KP). In addition, PLA risk was high in T2DM patients with gallstone and cholecystitis. Compared with comparison cohort, patients with T2DM prescribed acarbose has a lower PLA risk, however glyburide significantly increased PLA risk in T2DM cohort.Conclusion: In patients with newly diagnosed T2DM, PLA risk was high and acarbose might reduce PLA risk.

scholarly journals Occult pyogenic liver abscess in an adolescent with type 2 diabetes

Endocrine ◽  
2013 ◽  
Vol 45 (2) ◽  
pp. 335-336 ◽  
Author(s):  
Regina Williams ◽  
Noelle S. Larson ◽  
Jordan E. Pinsker
Keyword(s):  
Type 2 Diabetes ◽  
Liver Abscess ◽  
Pyogenic Liver Abscess

scholarly journals Improving Type 2 Diabetes Patient Health Outcomes with Individualized Continuing Medical Education for Primary Care

2016 ◽  
Vol 7 (3) ◽  
pp. 473-481 ◽  
Author(s):  
Brian Lee ◽  
Dace Trence ◽  
Silvio Inzucchi ◽  
Jay Lin ◽  
Steven Haimowitz ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Medical Education ◽  
Health Outcomes ◽  
Continuing Medical Education ◽  
Diabetes Patient ◽  
Patient Health

scholarly journals Giant criptogenic pyogenic gas containing left liver abscess

2008 ◽  
Vol 136 (5-6) ◽  
pp. 292-294
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vladimir Radak
Keyword(s):  
Escherichia Coli ◽  
Liver Abscess ◽  
Fever Of Unknown Origin ◽  
Unknown Origin ◽  
Diabetic Patients ◽  
Surgical Drainage ◽  
X Ray ◽  
Left Liver ◽  
Liver Abscesses ◽  
The Right

INTRODUCTION Pyogenic gas containing liver abscesses are rare. Less than 50 cases seem to have been described so far. Most of them were localised within the right liver. The majority of those abscesses appear in diabetic patients. CASE OUTLINE The authors present a 64-year old diabetic male patient in whom the investigation (US, CT, plain X-ray) performed for fever of unknown origin confirmed a giant liver gas containing abscess that destroyed almost the entire left liver. Escherichia coli sensitive to several antibiotics was isolated from the abscess. The patient was cured by surgical drainage, limited debridement, lavage, drainage and antibiotics. CONCLUSION Pyogenic gas containing liver abscesses are easy to diagnose nowadays. The type of surgical drainage has to be adapted to a particular patient.

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