A case of diabetes mellitus with bacterial liver abscess and brucellosis

doi:10.3877/cma.j.issn.1674-1358.2019.01.017

Abstract

Abstract:

Objective

To improve the awareness of atypical brucellosis.

Methods

The diagnosis and treatment of one case of brucellosis with hepatic abscess and initial diabetes were analyzed and reviewed with relevant literature.

Results

A 66-year-old male patients with brucellosis combined with hepatic abscess and type 2 diabetes was treated, after comprehensive anti-infection treatement, drainage of liver abscess and hypoglycemic symptomatic therapy, the body temperature returned to normal, brucellosis and liver abscess improved, and he was discharged from hospital.

Conclusion

Timely diagnosis and standard treatment are the key to control brucellosis and hepatic abscess.

Key words: Brucellosis, Diabetic, Hepatic abscess, Multiple infection

Min Jiang, Songsong Xie, Pengfei Zhang, Weize Zuo. A case of diabetes mellitus with bacterial liver abscess and brucellosis[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2019, 13(01): 85-88.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhsyhlcgrbzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-1358.2019.01.017

https://zhsyhlcgrbzz.cma-cmc.com.cn/EN/Y2019/V13/I01/85

Figures/Tables 2

References 20

[1]	《中华传染病杂志》编辑委员会. 布鲁菌病诊疗专家共识[J]. 中华传染病杂志,2017(12):705-710.
[2]	Hohlbrugger G, Riedl C. Non-bacterial cystitis[J]. Curr Opin Urol,2000,10(5):371-380.
[3]	Tsai FC, Huang YT, Chang LY, et al. Pyogenic liver abscess as endemic disease, Taiwan[J]. Emerg Infect Dis,2008,14(10):1592-1600.
[4]	盛正妍, 顾鸣宇, 黄云鸿, 等. 糖尿病合并肝脓肿的临床特点和治疗[J]. 疑难病杂志,2003,2(05):263-265.
[5]	许建新, 纪明锁, 任敬, 等. 糖尿病患者细菌性肝脓肿的临床特征与病原菌分布[J]. 中华医院感染学杂志,2016,26(7):1546-1547.
[6]	毕旭东, 赵晶, 王海龙, 等. 糖尿病并发细菌性肝脓肿的治疗[J]. 中国现代医学杂志,2006,16(17):2694-2695.
[7]	潘凡, 熊日晖, 潘晨, 等. 110例细菌性肝脓肿的诊断和治疗分析[J/CD]. 中华实验和临床感染病杂志(电子版),2013,7(1):56-59.
[8]	Shelat VG, Chia CL, Yeo CS, et al. Pyogenic Liver Abscess: Does Escherichia Coli cause more adverse outcomes than Klebsiella Pneumoniae?[J]. World J Surg,2015,39(10):2535-2542.
[9]	Yumuk Z, Kucukbasmaci O, Buyukbaba Boral O, et al. The effects of streptozotocin-induced diabetes on brucellosis of rats[J]. FEMS Immunol Med Microbiol,2003,39(3):275-278.
[10]	梁栋, 孟海艳, 唐全, 等. 2型糖尿病合并布鲁氏菌病1例报告[J]. 山西医科大学学报,2015,46(9):944-945.
[11]	周建伟, 郭正印, 李蓬. 布鲁氏菌病治疗现状分析[J]. 河南预防医学杂志,2018(05):340-344.
[12]	Dornand J, Gross A, Lafont V, et al. The innate immune response against Brucella in humans[J]. Vet Microbiol,2002,90(1-4):383-394.
[13]	罗海光, 郑贵专. 我国非疫区人布鲁菌病首例病例流行情况[J]. 职业与健康,2017(24):3441-3444.
[14]	Ozaras R, Celik AD, Demirel A. Acute hepatitis due to brucellosis in a laboratory technician[J]. Eur J Intern Med,2004,15(4):264.
[15]	Wang J, Yan Y, Xue X, et al. Comparison of pyogenic liver abscesses caused by hypermucoviscous Klebsiella pneumoniae and non-Klebsiella pneumoniae pathogens in Beijing: a retrospective analysis[J]. J Int Med Res,2013,41(4):1088-1097.
[16]	Nazir NT, Penfield JD, Hajjar V. Pyogenic liver abscess[J]. Cleve Clin J Med,2010,77(7):426-427.
[17]	刘军廷, 闫军. 超声引导经皮肝穿刺置管引流与腹腔镜手术引流治疗细菌性肝脓肿的疗效研究[J]. 中国卫生标准管理,2015,6(21):49-51.
[18]	高越, 曹军英, 于馨, 等. 超声引导下穿刺置管引流治疗肝脓肿的疗效分析[J]. 现代生物医学进展,2016,16(5):885-887.
[19]	Biskup E, Yang XY. Pyogenic hepatic abscess--Less is more. A review for general internists[J]. Praxis (Bern 1994),2015,104(20):1091-1095.
[20]	章瑾, 蒋天安. 超声引导穿刺置管引流术在肝脓肿治疗中的临床应用[J]. 中华临床感染病杂志,2009,2(2):114-115.

Please choose a citation manager

Content to export