DICを伴う敗血症性shockを併発したKlebsiella肝膿瘍の一例

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タイトル別名
  • A Case of Klebsiella Liver Abscess Developing Septic Shock with DIC
  • DICを伴う敗血症性shockを伴発したKlebsiella肝膿瘍の一例
  • DIC オ トモナウ ハイケツショウセイ shock オ ハンハツシタ Kle

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A 67-year-old female patient with Klebsiella liver abscess developing septic shock with DIC is described.<BR>Following antecedent low-grade illness, high spikng fever and cloudness of consciousness were noted in November 17, 1975. On examination she was dehydrated and drowsy. No jaundice and hepatomegaly. Laboratory findings include ESR 85mm/hr, WBC 24, 000, Pl. 56, 000, total bilirubin 9.3mg/ 100ml with Al-p 7.6 B-L., SGOT 150, SGPT 100, LDH 960. Blood coagulation studies could not be done because of hypercoagulability of the blood. FDP 10μg/ml (normal<10μg/ml). Blood culture yield Klebsiella pneumoniae.<BR>In November 23, she developed septic shock suddenly. Marked generalized bleeding tendency, jaundice and left hemiparesis were noted in November 24, 25, and 26 respectively. She expired in November 27.<BR>In autopsy, solitary liver abscess, cerebral hemorrhage, Klebsiells meningitis were found. Multiple pulmonary, splenic and uterine infarcts were also noted.<BR>This case we present here showed an unusual clinical picture resulting in septic shock associated with DIC.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 51 (9), 499-502, 1977

    一般社団法人 日本感染症学会

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