A Case of Diabetic Ketoacidosis Precipitated by Klebsiella Liver Abscess and Brain Abscess.
- Author:
Dong Soon KIM
1
;
Hyun Jin KIM
;
Kang Seo PARK
;
Seong Gyu LEE
;
Jae Hyuk LEE
;
Bong Suk KO
;
Hyun Jin MOON
Author Information
1. Department of Internal Medicine, Eulji University Hospital, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Diabetic ketoacidosis;
Klebsiella pneumoniae;
Liver abscess;
Brain abscess
- MeSH:
Abscess;
Adult;
Anti-Bacterial Agents;
Basal Ganglia;
Brain;
Brain Abscess;
Diabetes Mellitus;
Diabetic Ketoacidosis;
Humans;
Injections, Intravenous;
Insulin;
Kidney;
Klebsiella;
Klebsiella pneumoniae;
Liver;
Liver Abscess;
Lung;
Magnetic Resonance Imaging;
Pneumonia;
Prostate;
Risk Factors;
Seizures
- From:Korean Journal of Medicine
2011;81(5):652-656
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diabetes mellitus is a known risk factor for Klebsiella pneumoniae liver abscess, and may be associated with metastatic complications. We report a case of diabetic ketoacidosis (DKA) precipitated by a K. pneumoniae liver abscess and followed by a brain abscess. A 31-year-old man with uncontrolled type 2 diabetes was admitted for DKA. Abdominal and pelvic computed tomography scans showed multiple abscesses in the lung, liver, both kidneys, and prostate gland. The blood culture yielded K. pneumoniae. The patient's condition improved following antibiotic and insulin therapy, and he was discharged. However, he was rehospitalized 10 days after discharge due to a generalized tonic-clonic seizure. Brain magnetic resonance imaging revealed a brain abscess in the right basal ganglia. The patient was given an intravenous injection of antibiotics (vancomycin and carbapenem), and he recovered well with no neurological sequelae.
