Clinical features of gas-forming liver abscesses: comparison between diabetic and nondiabetic patients.
10.3350/kjhep.2010.16.2.131
- Author:
Chang Jae LEE
1
;
Sang Young HAN
;
Sung Wook LEE
;
Yang Hyun BAEK
;
Seok Reyol CHOI
;
Myung Hwan ROH
;
Jong Hoon LEE
;
Jin Seok JANG
;
Jin HAN
;
Su Hyun CHO
;
Se Woong CHOI
Author Information
1. Department of Internal Medicine, Donga University, College of Medicine, Busan, Korea. syhan@dau.ac.kr
- Publication Type:Original Article ; Comparative Study ; English Abstract
- Keywords:
Liver Abscess;
Gas Forming;
Diabetes Mellitus
- MeSH:
Adult;
Aged;
Diabetes Complications/diagnosis/epidemiology/*mortality;
Female;
Hemoglobin A, Glycosylated/analysis;
Humans;
Hypoglycemic Agents/therapeutic use;
Klebsiella Infections/complications;
Klebsiella pneumoniae/isolation & purification;
Length of Stay;
Liver Abscess, Pyogenic/complications/diagnosis/*mortality;
Male;
Middle Aged;
Morbidity;
Retrospective Studies
- From:The Korean Journal of Hepatology
2010;16(2):131-138
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Patients with diabetes mellitus (DM) are more likely to have a pyogenic liver abscess with gas formation, which is associated with higher morbidity and mortality. The morbidity and mortality in pyogenic liver abscess are also higher in DM patients than in non-DM patients. This study evaluated the morbidity, mortality, and clinical features in patients with gas-forming liver abscesses associated with DM. METHODS: Among 379 cases of pyogenic liver abscess excluding malignancy from January 2001 through December 2009, 25 patients treated for pyogenic-gas-forming liver abscesses were reviewed retrospectively. We compared the morbidity, mortality, and clinical findings in patients with pyogenic-gas-forming liver abscesses between DM and non-DM patients. RESULTS: Gas formation was present in 25 (6.6%) of 379 cases with pyogenic liver abscess. DM was combined with gas-forming liver abscesses in 19 cases (76%). The most common organism responsible for the gas formation was Klebsiella pneumoniae (82%). Complications were present in 23 cases (92%) of gas-forming liver abscesses, with pulmonary complications (especially pleural effusion) being the most common (n=14, 61%). Four patients (16%) died of sepsis. CONCLUSIONS: Gas-forming liver abscesses are not uncommon in cases of pyogenic liver abscesses and are associated with high morbidity and mortality rates. The clinical manifestations and complications do not differ significantly between DM and non-DM patients.
