Vol 62, No 4 (2011)
Case report
Published online: 2011-08-30

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Liver abscess due to Yersinia bacteremia in a well-controlled type I diabetic patient

Meral Mert, Gonenc Kocabay, Tamer Özülker, Mustafa Temizel, Hakan Yanar, Özlem Uygun, Filiz Özülker, Yücel Arman, Ertan Cevizci, Ali Çetin Ölek
Endokrynol Pol 2011;62(4):357-360.

Abstract

Yersiniae enterocolitica, a gram negative rod-like organism, causes terminal ileitis and mesenteric adenitis in adolescents and adults. Some forms present with liver and spleen abscesses and have worse prognosis.
We report a type 1 diabetic patient with a liver abscess mimicking metastatic liver disease who was successfully treated with percutaneous drainage and antibiotic administration; culture from blood was positive for Yersinia enterocolitica, but drainage material from the liver abscess did not yield a positive result for Yersinia enterocolitica. Although the prognosis is not good in such cases, with high mortality rates, our patient recovered from the disease with appropriate treatment.
(Pol J Endocrinol 2011; 62 (4): 357–360)

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