Pyogenic liver abscess and pulmonary septic emboli in a diabetic woman

Authors

  • Aloísio Felipe-Silva Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Lorena Laborda Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.

DOI:

https://doi.org/10.4322/acr.2016.014

Keywords:

Autopsy, Liver abscess, Pulmonary embolism, Diabetes Mellitus, Sepsis.

Abstract

A 67-year-old diabetic woman was admitted with abdominal pain one day after being discharged from other hospital, where she had been diagnosed with urinary infection and sepsis. A pyogenic liver abscess was detected by ultrasonography
in this institution. Antibiotic therapy was started and a percutaneous drainage was attempted, but major clinical deterioration with irresponsive septic shock and acidosis ensued. Autopsy confirmed pyogenic liver abscess and findings
of septic shock. Rarely documented microscopic septic pulmonary emboli were detected. This case illustrates the importance and difficulty of early recognition of pyogenic liver abscess and its severe septic complications in diabetic
patients. Microscopic septic pulmonary embolism is a rare finding in pyogenic liver abscess cases and its precise clinical significance is unknown.

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Author Biographies

  • Aloísio Felipe-Silva, Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
    Anatomic Pathology Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Lorena Laborda, Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
    Department of Internal Medicine - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.

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Published

2011-03-08

Issue

Vol. 1 No. 1 (2011)

Section

Article / Autopsy Case Report

License

Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.

How to Cite

Felipe-Silva, A., & Laborda, L. (2011). Pyogenic liver abscess and pulmonary septic emboli in a diabetic woman. Autopsy and Case Reports, 1(1). https://doi.org/10.4322/acr.2016.014