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Yeungnam Univ J Med > Volume 32(1); 2015 > Article
Yeungnam University Journal of Medicine 2015;32(1):38-41.
DOI: https://doi.org/10.12701/yujm.2015.32.1.38    Published online June 30, 2015.
Liver abscess and septic complications associated with advanced gastric cancer.
Gun Jung Youn, Young Choi, Min Jae Kim, Jae Sin Lee, Ui Won Ko, Yeon Ho Joo
1Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
2Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea. jyhyhj@chol.com
Abstract
Pyogenic liver abscess with metastatic septic complications is a rare and serious infectious disease if not treated properly. Pyogenic liver abscesses are caused by bacterial, fungal, or parasitic organisms. Escherichia coli used to be the predominant causative agent, but Klebsiella pneumoniae emerged as a major cause in the 1990s. Liver abscesses are caused by hepatic invasion via many routes, such as, the biliary tree, portal vein, hepatic artery, direct extension, or penetrating trauma. Furthermore, diabetes mellitus and malignant conditions are established important risk factors of K. pneumoniae liver abscesses and of septic metastasis, and several recent studies have asserted that K. pneumoniae liver abscess might be a presentation of occult or silent colon cancer. We report a case of K. pneumoniae liver abscess, metastatic septic pulmonary embolism, and endophthalmitis associated with diabetes and advanced gastric cancer.
Key Words: Pyogenic liver abscess, Septic pulmonary embolism, Septic endophthalmitis, Advanced gastric cancer


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