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...

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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
id UNACIONAL2_2cf6f9f9c628e9b048b9e7b888f0cfa3
oai_identifier_str oai:repositorio.unal.edu.co:unal/65365
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Association between periodontal disease and septicemia due to pyogenic hepatic abscess
title Association between periodontal disease and septicemia due to pyogenic hepatic abscess
spellingShingle Association between periodontal disease and septicemia due to pyogenic hepatic abscess
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.
title_short Association between periodontal disease and septicemia due to pyogenic hepatic abscess
title_full Association between periodontal disease and septicemia due to pyogenic hepatic abscess
title_fullStr Association between periodontal disease and septicemia due to pyogenic hepatic abscess
title_full_unstemmed Association between periodontal disease and septicemia due to pyogenic hepatic abscess
title_sort Association between periodontal disease and septicemia due to pyogenic hepatic abscess
dc.creator.fl_str_mv Pinilla, Análida Elizabeth
López, Myriam Consuelo
Murcia, Martha Isabel
dc.contributor.author.spa.fl_str_mv Pinilla, Análida Elizabeth
López, Myriam Consuelo
Murcia, Martha Isabel
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 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.
dc.subject.proposal.spa.fl_str_mv Liver Abscess
Diabetes Mellitus
Mouth
Escherichia coli
Fusobacterium Bacteremia
Absceso Hepático
Diabetes Mellitus
Boca
Escherichia coli
Fusobacterium
Bacteriemia.
description 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.
publishDate 2014
dc.date.issued.spa.fl_str_mv 2014-10-01
dc.date.accessioned.spa.fl_str_mv 2019-07-03T00:14:18Z
dc.date.available.spa.fl_str_mv 2019-07-03T00:14:18Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.issn.spa.fl_str_mv ISSN: 2357-3848
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/65365
dc.identifier.eprints.spa.fl_str_mv http://bdigital.unal.edu.co/66388/
identifier_str_mv ISSN: 2357-3848
url https://repositorio.unal.edu.co/handle/unal/65365
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dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.spa.fl_str_mv https://revistas.unal.edu.co/index.php/revfacmed/article/view/43147
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de Medicina
Revista de la Facultad de Medicina
dc.relation.references.spa.fl_str_mv Pinilla, Análida Elizabeth and López, Myriam Consuelo and Murcia, Martha Isabel (2014) Association between periodontal disease and septicemia due to pyogenic hepatic abscess. Revista de la Facultad de Medicina, 62 (4). pp. 631-635. ISSN 2357-3848
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.spa.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Pinilla, Análida Elizabethf8d9049f-e4b3-4e49-84b8-6b2546a9ec9c300López, Myriam Consuelodefbb3e9-2dd9-4028-a35f-7b9d45f0d7e8300Murcia, Martha Isabel0de91206-8c5f-487d-952c-bf3d967c45673002019-07-03T00:14:18Z2019-07-03T00:14:18Z2014-10-01ISSN: 2357-3848https://repositorio.unal.edu.co/handle/unal/65365http://bdigital.unal.edu.co/66388/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.Las infecciones bacterianas de la cavidad oral, en particular gingival y periodontal, son causa de bacteriemias que, dependiendo de la historia clínica del paciente, pueden favorecer el desarrollo de infecciones a distancia como: endocarditis, abscesos piógenos en diferentes órganos como cerebro, hígado, riñón, entre otros. Por esto, se ilustra un caso de enfermedad periodontal asociado con absceso hepático piógeno. Se presenta un paciente masculino de 65 años con antecedente de diabetes mellitus tipo 2, quien consultó por dolor abdominal en hipocondrio derecho de 25 días de evolución, asociado a fiebre y pérdida de peso no cuantificados. Al examen físico, en urgencias, presentó taquicardia, taquipnea, fiebre de 39ºC; como hallazgo relevante se encontró dolor abdominal difuso a la palpación superficial, sin irritación peritoneal. No se reportó sensibilidad a la puñopercusión ni a la digitopresión intercostal en hipocondrio derecho. En pocas horas evolucionó a choque séptico, por lo que requirió traslado a unidad de cuidado intermedio. La tomografía axial computarizada abdominal evidenció absceso hepático multiloculado; se realizó drenaje percutáneo con cultivo positivo para Escherichia coli y Fusobacterium spp.; por tanto, se hizo el diagnóstico diferencial entre absceso hepático de origen piógeno o amebiano. Posteriormente, se realizó examen de cavidad oral que reveló enfermedad periodontal severa con destrucción coronal y se programó exodoncia.application/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Medicinahttps://revistas.unal.edu.co/index.php/revfacmed/article/view/43147Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de MedicinaRevista de la Facultad de MedicinaPinilla, Análida Elizabeth and López, Myriam Consuelo and Murcia, Martha Isabel (2014) Association between periodontal disease and septicemia due to pyogenic hepatic abscess. Revista de la Facultad de Medicina, 62 (4). pp. 631-635. ISSN 2357-384861 Ciencias médicas; Medicina / Medicine and healthLiver AbscessDiabetes MellitusMouthEscherichia coliFusobacterium BacteremiaAbsceso HepáticoDiabetes MellitusBocaEscherichia coliFusobacteriumBacteriemia.Association between periodontal disease and septicemia due to pyogenic hepatic abscessArtículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL43147-246777-1-PB.pdfapplication/pdf812268https://repositorio.unal.edu.co/bitstream/unal/65365/1/43147-246777-1-PB.pdf09f9d1e656bde29d0e43771733d7c48cMD51THUMBNAIL43147-246777-1-PB.pdf.jpg43147-246777-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg8032https://repositorio.unal.edu.co/bitstream/unal/65365/2/43147-246777-1-PB.pdf.jpg4e5d727f8f91210588a2865ebd60fcfcMD52unal/65365oai:repositorio.unal.edu.co:unal/653652023-05-19 23:46:41.334Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co