A Case of Diabetic Ketoacidosis Precipitated by Klebsiella Liver Abscess and Brain Abscess / 대한내과학회지
Korean Journal of Medicine
;
: 652-656, 2011.
Article
in Korean
| WPRIM
| ID: wpr-205770
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Prostate
/
Seizures
/
Basal Ganglia
/
Brain
/
Brain Abscess
/
Magnetic Resonance Imaging
/
Risk Factors
/
Diabetic Ketoacidosis
/
Diabetes Mellitus
Type of study:
Etiology study
/
Risk factors
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2011
Type:
Article
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