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Revista de la Facultad de Medicina
Print version ISSN 0120-0011
Abstract
PINILLA, Análida Elizabeth; CONSUELO LOPEZ, Myriam and MURCIA, Martha Isabel. Association between periodontal disease and septicemia due to pyogenic hepatic abscess. rev.fac.med. [online]. 2014, vol.62, n.4, pp.631-635. ISSN 0120-0011. https://doi.org/10.15446/revfacmed.v62n4.43147.
Case of a 65 year-old man with type-2 diabetes mellitus for 15 years who complained of abdominal pain in the right upper quadrant associated with unquantified fever and weight loss over a period of 25 days. In the emergency room, he presented tachycardia, tachypnea and fever of 37 º C, diffuse abdominal pain from light palpation without peritoneal irritation or right upper quadrant tenderness upon fist percussion test. Within a few hours the patient evolved to septic shock and required transfer to the intermediate care unit. The abdominal computerized axial tomography showed multiloculated hepatic abscess. Percutaneous drainage was performed with the culture positive for Escherichia coli and Fusobacterium spp. Then, the differential diagnosis was made between pyogenic or amebic liver abscess. Subsequently, oral cavity examination revealed severe periodontal disease with coronal destruction; therefore, extraction was scheduled.
Keywords : Liver Abscess; Diabetes Mellitus; Mouth; Escherichia coli; Fusobacterium; Bacteremia.