OCCULT COLON CANCER IN A PATIENT WITH DIABETES AND RECURRENT KLEBSIELLA PNEUMONIAE LIVER ABSCESS

被引：15

作者：

Hsu, Wen-Hung ^{[1
]}

Yu, Fang-Jung ^{[1
]}

Chuang, Chien-Han ^{[3
]}

Chen, Chin-Fan ^{[4
]}

Lee, Chien-Ting ^{[5
]}

Lu, Chien-Yu ^{[1
,2
]}

机构：

[1] Kaohsiung Med Univ, Dept Internal Med, Div Gastroenterol, Coll Med, Kaohsiung, Taiwan

[2] Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, Taiwan

[3] Kaohsiung Med Univ Hosp, Dept Surg, Div Gastrointestinal & Gen Surg, Kaohsiung 807, Taiwan

[4] Pingtung Hosp, Dept Hlth, Dept Surg, Pingtung, Taiwan

[5] Pingtung Hosp, Dept Hlth, Dept Internal Med, Pingtung, Taiwan

来源：

KAOHSIUNG JOURNAL OF MEDICAL SCIENCES | 2009年 / 25卷 / 02期

关键词：

colonic cancer; diabetes mellitus; Klebsiella pneumoniae; liver abscess; STREPTOCOCCUS-BOVIS; RISK;

D O I：

10.1016/S1607-551X(09)70048-8

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Klebsiella pneumoniae (Kp) is a well-known leading cause of liver abscess in patients with diabetes, but recurrent Kp liver abscess in such patients within a period of time is seldom seen. Here, we report a patient with diabetes who experienced three episodes of Kp liver abscess within I year. The patient was subsequently diagnosed to have an occult sigmoid cancer. The liver abscess did not recur after resection of the colonic tumor. Occult sigmoid colonic cancer may have played an important role in the recurrent Kp liver abscess in our case. Therefore, further investigation of gastrointestinal malignancies, particularly of the colonic tract, is necessary in patients with diabetes and Kp liver abscess.

引用

页码：98 / 103

页数：6

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