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[Hepatic abscess in diabetics, 2 case reports].
F Saad1, K Ach, N Dallel Youssef
1Service d'endocrinologie-diabétologie du Pr. Larbi Chaieb, CHU Farhat Hached, Sousse, Tunisia.
Presse Medicale (Paris, France : 1983)
|March 18, 2004
Summary
Diabetic patients, especially the elderly, may develop hepatic abscesses. Early detection through systematic screening is crucial for effective treatment and management of diabetes mellitus complications.
Area of Science:
- Hepatology
- Infectious Diseases
- Endocrinology
Background:
- Hepatic abscess is an increasingly recognized complication in diabetic patients.
- Diabetes mellitus, particularly in the elderly, presents a higher risk for this septic localization.
Observation:
- Two elderly diabetic patients with type 2 diabetes mellitus decompensation presented with sub-febrile state and infectious syndrome, but lacked typical hepatic signs.
- Systematic hepatic sonography revealed abscesses in both patients.
- Klebsiella oxytoca was identified in one patient via liver puncture.
Findings:
- Both patients showed positive outcomes with antibiotic treatment.
- One patient also required surgical draining, indicating varied treatment approaches.
- The origin of the abscesses was attributed to biliary and arterial sources in the respective patients.
Implications:
- These cases highlight the importance of considering hepatic abscess in diabetic patients with unexplained infectious syndromes.
- Systematic evaluation for hepatic abscess is recommended in diabetic patients presenting with infectious symptoms.
- Prompt diagnosis and appropriate management, including antibiotics and potentially surgical intervention, are key for favorable outcomes.