Saurabh Gupta¹, SK Verma¹*, KR Sharma¹ and John Punnose²

¹Department of Medicine, Pacific Medical College and Hospitals, Udaipur, Rajasthan, India
²Department of Endocrinology, St. Stephen`s Hospital, Delhi, India

*Corresponding Author: SK Verma, Department of Medicine, Pacific Medical College and Hospitals, Udaipur, Rajasthan, India.

Received: January 13, 2023; Published: February 08, 2023

Abstract

Emphysematous hepatitis is a rapidly progressive infection of liver which has a high fatality. It is mostly seen in immunocompromised patients with a radiological appearance like emphysematous pyelonephritis but distinguished by histopathlogy and CT/MRI scans. There is limited data in medical literature regarding the causative organisms, pathogenesis and management of this condition. Despite treatment by broad spectrum antibiotics and surgical care, it may end in fatality as in the present  case.

Keywords: Emphysematous Hepatitis; Diabetes; Gas Forming Abscess

References

1. Grayson DE., et al. “Emphysematous infections of the abdomen and pelvis: a pictorial review”. Radiographics 3 (2002): 543-561.
2. Doblecki-Lewis S., et al. “Hepatic gas gangrene following orthotopic liver transplantation: Three cases treated with re-transplantation and a review of the literature”. Transplant Infectious Disease4 (2008): 280-285.
3. Chauhan U., et al. “Emphysematous hepatitis-a fatal infection in diabetic patients: case report”. Clinics and Research in Hepatology and Gastroenterology6 (2012): e114-116.
4. Yang-Sheng L., et al. “Emphysematous changes of the liver”. Clinical Challenges and Images in GI 213 (2012): 413-414.
5. JJ Huang., et al. “Mixed acid fermentation of glucose as a mechanism of emphysematous urinary tract infection”. Journal of Urology1 (1991): 148-151.
6. Hui JY., et al. “Pyogenic liver abscesses caused by Klebsiella pneumoniae: US appearance and aspiration findings”. Radiology 3 (2007): 769-776.
7. Bell D., et al. “Emphysematous hepatitis”. Reference article, Radiopaedia.org.
8. Wan YL., et al. “Acute gas-producing bacterial renal infection: Correlation between imaging findings and clinical outcome”. Radiology2 (1996): 433-438.
9. Blachar A., et al. “Acute fulminant hepatic infection causing fatal "emphysematous hepatitis": case report”. Abdominal Imaging2 (2002): 188-190.
10. Lin YS., et al. “Emphysematous changes of the liver”. Gastroenterology2 (2012): 213.
11. Kim JH., et al. “A case of emphysematous hepatitis with spontaneous pneumoperitoneum in a patient with hilar cholangiocarcinoma”. The Korean Journal of Hepatology1 (2012): 94.
12. Gebel M. “Ultrasound in gastroenterology and hepatology”. Wiley-Blackwell (2000).
13. Shaked A McDiarmid., et al. “Hepatic artery thrombosis resulting in gas gangrene of the transplanted liver”. Surgery 4 (1992): 462-465.

Citation

Citation: Saurabh Gupta., et al. “Fulminant Emphysematous Hepatitis Mimicking Liver Abscess in a Diabetic Patient”.Acta Scientific Medical Sciences 7.3 (2023): 59-61.

Copyright

Copyright: © 2022 Saurabh Gupta., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.