Williams Regina, Larson Noelle S, Pinsker Jordan E
Division of Pediatric Endocrinology, Department of Pediatrics, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI, 96859-5000, USA.
Endocrine. 2014 Mar;45(2):335-6. doi: 10.1007/s12020-013-0036-6. Epub 2013 Aug 15.
Pyogenic liver abscess is a rare complication of diabetes, usually seen in adults greater than 50 years of age who have had diabetes for many years. We describe an 18-year-old male with type 2 diabetes found to have a pyogenic liver abscess caused by Klebsiella pneumoniae, and show accompanying images from his evaluation for fever of unknown origin (FUO). We conclude that in a child or adolescent with FUO and diabetes, occult pyogenic liver abscess must be considered.
化脓性肝脓肿是糖尿病的一种罕见并发症,通常见于年龄大于50岁且患有多年糖尿病的成年人。我们描述了一名18岁的2型糖尿病男性患者,其被发现患有由肺炎克雷伯菌引起的化脓性肝脓肿,并展示了他因不明原因发热(FUO)进行评估时的相关影像。我们得出结论,对于患有FUO和糖尿病的儿童或青少年,必须考虑隐匿性化脓性肝脓肿。