A Case of Diabetic Ketoacidosis Precipitated by Klebsiella Liver Abscess and Brain Abscess / 대한내과학회지
Korean Journal of Medicine
; : 652-656, 2011.
Article
en Ko
| WPRIM
| ID: wpr-205770
Biblioteca responsable:
WPRO
ABSTRACT
Diabetes mellitus is a known risk factor for Klebsiella pneumoniae liver abscess, and may be associated with metastatic complications. We report a case of diabetic ketoacidosis (DKA) precipitated by a K. pneumoniae liver abscess and followed by a brain abscess. A 31-year-old man with uncontrolled type 2 diabetes was admitted for DKA. Abdominal and pelvic computed tomography scans showed multiple abscesses in the lung, liver, both kidneys, and prostate gland. The blood culture yielded K. pneumoniae. The patient's condition improved following antibiotic and insulin therapy, and he was discharged. However, he was rehospitalized 10 days after discharge due to a generalized tonic-clonic seizure. Brain magnetic resonance imaging revealed a brain abscess in the right basal ganglia. The patient was given an intravenous injection of antibiotics (vancomycin and carbapenem), and he recovered well with no neurological sequelae.
Palabras clave
Texto completo:
1
Banco de datos:
WPRIM
Asunto principal:
Neumonía
/
Próstata
/
Convulsiones
/
Ganglios Basales
/
Encéfalo
/
Absceso Encefálico
/
Imagen por Resonancia Magnética
/
Factores de Riesgo
/
Cetoacidosis Diabética
/
Diabetes Mellitus
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
Idioma:
Ko
Año:
2011
Tipo del documento:
Article