Korean J Med.
1999 Aug;57(2):225-228.
A Case of yersinia pseudotuberculosis sepsis presenting as multiple liver abscesser in systemic lupus erythematosus
- Affiliations
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- 1The Hospital for Rheumatic Diseases, Hanyang University medical college, Seoul, Korea.
- 2Department of Internal medicine, Hanyang University medical college, Seoul, Korea.
- 3Department of Diagnostic Radiology, Hanyang University medical college, Seoul, Korea.
Abstract
- A 40-year-old man with systemic lupus erythematosus (SLE) and diabetes was found to have sepsis with multiple small hepatic abscesses secondary to Yersinia pseudotuberculosis which were detected by computed tomography (CT) scan and blood cultures. Sepsis with Y. pseudotuberculosis is uncommon but usually seen in patients with underlying liver diseases or diabetes. A few of those patients are accompanied by liver abscesses. Those patients with liver abscesses invariably have multiple small abscesses. CT scan of the liver was important in demonstrating the multiple small liver abscesses. Identification of the pathogen on blaod culture and elevated serum antibody titer to Y. pseudotu-berculosis are useful for diagnosis. Although rare, Y. pseudotuberculosis should be also considered as a possible cause in febrile patient with immunocompromised state such as SLE, diabetes or hemochromatosis.
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