A Case of yersinia pseudotuberculosis sepsis presenting as multiple liver abscesser in systemic lupus erythematosus.
- Author:
Ja Hun JUNG
1
;
Tae Hwan KIM
;
In Hong LEE
;
Seok Chul YANG
;
Yong Cheol JEON
;
Yong Soo KIM
;
Seong Yoon KIM
Author Information
1. The Hospital for Rheumatic Diseases, Hanyang University medical college, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Yersinia pseudotuberculosis;
SLE;
Diabetes
- MeSH:
Abscess;
Adult;
Diagnosis;
Hemochromatosis;
Humans;
Liver Abscess*;
Liver Diseases;
Liver*;
Lupus Erythematosus, Systemic*;
Sepsis*;
Tomography, X-Ray Computed;
Yersinia pseudotuberculosis*;
Yersinia*
- From:Korean Journal of Medicine
1999;57(2):225-228
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 40-year-old man with systemic lupus erythematosus (SLE) and diabetes was found to have sepsis with multiple small hepatic abscesses secondary to Yersinia pseudotuberculosis which were detected by computed tomography (CT) scan and blood cultures. Sepsis with Y. pseudotuberculosis is uncommon but usually seen in patients with underlying liver diseases or diabetes. A few of those patients are accompanied by liver abscesses. Those patients with liver abscesses invariably have multiple small abscesses. CT scan of the liver was important in demonstrating the multiple small liver abscesses. Identification of the pathogen on blaod culture and elevated serum antibody titer to Y. pseudotu-berculosis are useful for diagnosis. Although rare, Y. pseudotuberculosis should be also considered as a possible cause in febrile patient with immunocompromised state such as SLE, diabetes or hemochromatosis.
