Cited by
- A Case of Advanced Gastric Cancer Concomitant with Pyogenic Liver Abscess in the Patient with Subtotal Gastrectomy vol.69, pp.2, 2015, https://doi.org/10.4166/kjg.2017.69.2.143
Journal of Yeungnam Medical Science
- Volume 32 Issue 1
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- Pages.38-41
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- 2015
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- 2799-8010(eISSN)
DOI QR Code
Liver abscess and septic complications associated with advanced gastric cancer
간농양에 의한 패혈성 합병증과 동반된 진행성 위암
- Youn, Gun Jung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Choi, Young (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Kim, Min Jae (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Lee, Jae Sin (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Ko, Ui Won (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
- Joo, Yeon Ho (Department of Internal Medicine, Changwon Fatima Hospital)
- 윤건중 (가톨릭대학교 의과대학 내과학교실) ;
- 최영 (가톨릭대학교 의과대학 내과학교실) ;
- 김민재 (가톨릭대학교 의과대학 내과학교실) ;
- 이재신 (가톨릭대학교 의과대학 내과학교실) ;
- 고의원 (가톨릭대학교 의과대학 내과학교실) ;
- 주연호 (창원파티마병원 내과)
- Received : 2014.03.19
- Accepted : 2014.05.30
- Published : 2015.06.30
Abstract
Pyogenic liver abscess with metastatic septic complications is a rare and serious infectious disease if not treated properly. Pyogenic liver abscesses are caused by bacterial, fungal, or parasitic organisms. Escherichia coli used to be the predominant causative agent, but Klebsiella pneumoniae emerged as a major cause in the 1990s. Liver abscesses are caused by hepatic invasion via many routes, such as, the biliary tree, portal vein, hepatic artery, direct extension, or penetrating trauma. Furthermore, diabetes mellitus and malignant conditions are established important risk factors of K. pneumoniae liver abscesses and of septic metastasis, and several recent studies have asserted that K. pneumoniae liver abscess might be a presentation of occult or silent colon cancer. We report a case of K. pneumoniae liver abscess, metastatic septic pulmonary embolism, and endophthalmitis associated with diabetes and advanced gastric cancer.
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