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Multiple liver abscesses secondary to Yersinia enterocolitica
H Nemoto1, K Murabayashi, Y Kawamura
1Fourth Department of Internal Medicine, Toho University, School of Medicine, Tokyo, Japan.
Internal Medicine (Tokyo, Japan)
|September 1, 1992
Summary
A rare liver abscess caused by Yersinia enterocolitica occurred in a diabetic patient. Despite treatment, the patient succumbed to sepsis and disseminated intravascular coagulation.
Area of Science:
- Infectious Diseases
- Hepatology
- Microbiology
Background:
- Yersinia enterocolitica infections can lead to severe complications, particularly in immunocompromised individuals.
- Liver abscesses are uncommon but serious manifestations of bacterial infections.
- Poorly controlled diabetes mellitus is a significant risk factor for opportunistic infections.
Observation:
- A 37-year-old male with poorly controlled insulin-dependent diabetes presented with fever and confusion.
- Laboratory findings revealed hyperglycemia, inflammation, and liver dysfunction.
- Blood cultures identified Yersinia enterocolitica, and a liver CT scan showed multiple low-density lesions.
Findings:
- The patient was diagnosed with a liver abscess secondary to Yersinia enterocolitica.
- Despite medical intervention, the patient developed disseminated intravascular coagulation and died.
- Autopsy confirmed the clinical diagnosis of Yersinia enterocolitica liver abscess with septicemia.
Implications:
- This case highlights the potential severity of Yersinia enterocolitica infections in diabetic patients.
- Early recognition and aggressive management are crucial for improving outcomes.
- The alimentary tract is a likely route of infection, emphasizing hygiene measures.