The clinical and ultrasound features of Klebsiella pneumoniae liver abscess in diabetes mellitus patients with different levels of HbA1c
10.3969/j.issn.1671-8348.2016.30.015
- VernacularTitle:糖尿病患者不同 HbA1c控制水平的肺炎克雷伯菌肝脓肿临床和超声特征
- Author:
Jing SHI
;
Yan DING
;
Hao ZHOU
;
Pengxi WU
;
Qiaoying ZHU
;
Fengsheng ZHOU
;
Xiao JIANG
- Publication Type:Journal Article
- Keywords:
diabetes mellitus;
glycosylated haemoglobin;
Klebsiella pneumoniae liver abscesses;
ultrasound
- From:
Chongqing Medicine
2016;45(30):4222-4225
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical and ultrasound features of Klebsiella pneumoniae liver abscess(KPLA) in dia‐betes mellitus(DM ) patients with different levels of HbA1c .Methods Totally 146 patients with diabetes mellitus of Klebsiella pneumoniae liver abscesses(KPLA‐DM )were divided into three groups on the basis of their levels of HbA1c:complete glycemic controlled (HbA1c≤7% );good glycemic controlled (7% < HbA1c≤9% );bad glycemic controlled (HbA1c>9% ) .The patients′characteristics ,clinical features ,ultrasound features and complications among the three groups were compared .Results Compared with patients in complete glycemic controlled group and good glycemic controlled group ,patients in bad glycemic controlled group had lower onset age and longer length of hospital stay(P<0 .05) ,are more susceptible to underlying diseases such as hyperlipoi‐demia and chronic renal failure(P<0 .05) ,had more life‐threatening clinical crisis ,and had higher infection rate(P<0 .05) .KPLA‐DM could be characterized by patchy ,mass like enhancement echoultrasound image .Patients in bad glycemic controlled group al‐so had higher risk of biliary pneumatosis ,hepatic venous thrombosis and gas‐forming pyogenic liver abscess than other two groups (P<0 .05) .Conclusion The ultrasound image of KPLA has characteristics .The occurrence of hepatic venous thrombosis and gas‐forming observed by ultrasound is associated with bad glucose control in KPLA‐DM patients ,which suggests that there may be oth‐er complications such as metastatic infection .
