Zenda T, Araki I, Hiraiwa Y, Miyayama S, Masunaga T, Takeda Y, Ueno T, Takeda R
Department of Internal Medicine, Toyama Red Cross Hospital.
Intern Med. 1995 Jan;34(1):42-5. doi: 10.2169/internalmedicine.34.42.
A 70-year-old woman with poorly controlled diabetes mellitus was admitted because of persistent remittent fever. Soon a liver abscess was detected as the cause of the fever by ultrasonography, and antibiotic therapy was started. However, suddenly serious dyspnea with chest and back pain developed. The morbid condition was definitely diagnosed as septic pulmonary emboli (SPE) with pulmonary perfusion scan. It should be recognized that liver abscess can be a latent focus of systemic metastatic complications such as SPE, and not only early detection but also prompt appropriate drainage of liver abscesses is essential.
一名70岁糖尿病控制不佳的女性因持续弛张热入院。很快通过超声检查发现肝脓肿是发热原因，并开始抗生素治疗。然而，突然出现严重呼吸困难伴胸痛和背痛。经肺灌注扫描明确诊断病情为脓毒性肺栓塞（SPE）。应认识到肝脓肿可能是SPE等全身性转移性并发症的潜在病灶，不仅要早期发现，及时恰当引流肝脓肿也至关重要。
