Association between periodontal disease and septicemia due to pyogenic hepatic abscess
Case of a 65 year-old man with type-2 diabetes mellitus for 15 years who complained of abdominal pain in the right upper quadrant associated with unquantified fever and weight loss over a period of 25 days. In the emergency room, he presented tachycardia, tachypnea and fever of 37 º C, diffuse abdom...
- Autores:
-
Pinilla, Análida Elizabeth
López, Myriam Consuelo
Murcia, Martha Isabel
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2014
- Institución:
- Universidad Nacional de Colombia
- Repositorio:
- Universidad Nacional de Colombia
- Idioma:
- spa
- OAI Identifier:
- oai:repositorio.unal.edu.co:unal/65365
- Acceso en línea:
- https://repositorio.unal.edu.co/handle/unal/65365
http://bdigital.unal.edu.co/66388/
- Palabra clave:
- 61 Ciencias médicas; Medicina / Medicine and health
Liver Abscess
Diabetes Mellitus
Mouth
Escherichia coli
Fusobacterium Bacteremia
Absceso Hepático
Diabetes Mellitus
Boca
Escherichia coli
Fusobacterium
Bacteriemia.
- Rights
- openAccess
- License
- Atribución-NoComercial 4.0 Internacional
Summary: | Case of a 65 year-old man with type-2 diabetes mellitus for 15 years who complained of abdominal pain in the right upper quadrant associated with unquantified fever and weight loss over a period of 25 days. In the emergency room, he presented tachycardia, tachypnea and fever of 37 º C, diffuse abdominal pain from light palpation without peritoneal irritation or right upper quadrant tenderness upon fist percussion test. Within a few hours the patient evolved to septic shock and required transfer to the intermediate care unit. The abdominal computerized axial tomography showed multiloculated hepatic abscess. Percutaneous drainage was performed with the culture positive for Escherichia coli and Fusobacterium spp. Then, the differential diagnosis was made between pyogenic or amebic liver abscess. Subsequently, oral cavity examination revealed severe periodontal disease with coronal destruction; therefore, extraction was scheduled. |
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