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KMID : 0882420110810050652
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Korean Journal of Medicine
2011 Volume.81 No. 5 p.652 ~ p.656
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A Case of Diabetic Ketoacidosis Precipitated by Klebsiella Liver Abscess and Brain Abscess
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Kim Dong-Soon
Kim Hyun-Jin
Park Kang-Seo
Lee Seong-Kyu
Lee Jae-Hyuk
Ko Bong-Suk
Moon Hyun-Jin
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Abstract
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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.
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KEYWORD
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Diabetic ketoacidosis, Klebsiella pneumoniae, Liver abscess, Brain abscess
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