2型糖尿病并发侵袭性肺炎克雷伯菌肝脓肿综合征1例报告及文献复习

朱新琳; 张琳; 曾正艳; 吴亚楠; 李灿晖

doi:10.16766/j.cnki.issn.1674-4152.003272

2型糖尿病并发侵袭性肺炎克雷伯菌肝脓肿综合征1例报告及文献复习

doi: 10.16766/j.cnki.issn.1674-4152.003272

昆明医科大学第一附属医院全科医学科，云南昆明 650000

基金项目:

云南省卫生科技计划项目 2017NS019

详细信息

通讯作者:
李灿晖, E-mail: 11439914@qq.com

中图分类号: R587.1R517.6
计量
- 文章访问数: 284
- HTML全文浏览量: 111
- PDF下载量: 28
- 被引次数: 0
出版历程
- 收稿日期: 2022-10-24
- 网络出版日期: 2024-01-13

Invasive Klebsiella pneumoniae liver abscess syndrome in type 2 diabetes mellitus: a case report and literature review

Department of General Practice, the First Hospital of Kunming Medical University, Yunnan, Kunming 650000, China

摘要

摘要: 近年来2型糖尿病并发侵袭性肺炎克雷伯菌肝脓肿综合征(invasive Klebsiella pneumoniae liver abscess syndrome，IKLAS)逐渐进入大众视野，基于其症状隐匿、高毒力性和易发转移性感染的特征，使临床上在应对该类病例时尤为棘手。本文通过报道并回顾性分析1例2型糖尿病并发侵袭性肺炎克雷伯菌肝脓肿综合征患者的诊断、治疗及预后，复习相关文献，力求增加医务人员对IKLAS的认识和了解，使其能早诊断早治疗，改善临床诊疗效果。
- 糖尿病 /
- 肝脓肿 /
- 肺炎克雷伯菌 /
- 侵袭 /
- 病例报告
Abstract: In recent years, invasive Klebsiella pneumoniae liver abscess syndrome (IKLAS) has gradually developed in type 2 diabetes mellitus (T2DM). Due to its hidden symptoms, high virulence and susceptibility to metastatic infection, it is particularly difficult to manage such cases in the clinic. The diagnosis, treatment and prognosis of a case of T2DM complicated with invasive Klebsiella pneumoniae liver abscess syndrome were reported and retrospectively analyzed, and the relevant literature was reviewed, in order to improve the knowledge and understanding of IKLAS for medical personnel so that they can achieve early diagnosis and treatment. Improve the clinical treatment effect.
- Diabetes /
- Liver abscess /
- Klebsiella pneumoniae /
- Invasion /
- Case report

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图 1 2021年11月11日急诊胸部CT

注：胸部CT示双肺上叶散在结节(9~25 mm)。

Figure 1. Emergency chest CT on November 11, 2021

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图 2 2021年11月18日腹部MRI平扫+增强

腹部MRI平扫+增强示肝s8异常信号肿块(5.7 cm×8.0 cm)。

Figure 2. Abdominal MRI plain scan + enhancement on November 18, 2021

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图 3 2021年11月24日胸部CT平扫+增强

注：腹部CT平扫+增强示肝s8见片状低密度影(8.6 cm×6.4 cm)。

Figure 3. Chest CT plain scan+enhanced scan on November 24, 2021

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图 4 2021年11月24日腹部CT平扫+增强

Figure 4. Abdominal CT plain scan+enhanced scan on November 24, 2021

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图 5 2021年11月29日胸部CT

Chest CT on November 29, 2021

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图 6 2021年11月29日腹部CT

注：腹部CT示肝s8见片状低密度影(3.2 cm×6.4 cm)。

Figure 6. Abdominal CT on November 29, 2021

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图 7 2022年1月11日胸部CT

Figure 7. Chest CT on January 11, 2022

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图 8 2022年1月11日腹部CT

注：腹部CT示肝s8病变(2.0 cm×2.2 cm)。

Figure 8. Abdominal CT on January 11, 2022

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