A 70-year-old patient with liver abscess was found to have a large cavity in her liver by imaging examination. The situation is very dangerous, but the root cause of the cavity is related to intestinal bacteria.
It turned out that the patient had a history of diabetes for 2 years, but he had not been able to regulate his sugar control, which led to the formation of bacterial plugs by bacteria under the action of high blood sugar. Settled in the liver, “eaten” her liver cells.
Doctors have detected that the liver-damaging bacteria is Klebsiella pneumoniae, a type of Enterobacter that often lives in human skin, nasopharynx and intestines, as well as in water and grains in nature .
When we are healthy and our immunity is very good, we can resist the harm of this bacteria; but if our immunity is weakened, the virulent strains can cross the intestinal barrier and damage the liver cells, forming “cavities”.
This “cavity” is called a liver abscess and is a purulent infection caused by bacteria, fungi and other pathogens invading the liver. If you look at it from B-ultrasound and CT, it looks like the “hole” in the middle of the liver is gnawed by bacteria, which is easy to cause sepsis, septic shock, etc.
Fever, abdominal pain, and nausea are the initial symptoms of a liver abscess, followed by septic shock in the liver, kidneys, and lungs, leading to multiple organ failure. If the abscess breaks into the abdominal cavity, it can also cause peritonitis, and the mortality rate can be as high as 10% to 30%.
People with diabetes are especially prone to liver abscesses, their immune system is weak, and high blood sugar can feed bacteria. More than 80% of patients with liver abscess have diabetes.
If diabetic patients continue to have fever and show no signs of improvement, regardless of high or low fever, they should be alert to the complications of bacterial liver abscess. Abdominal ultrasonography.
The pain of liver abscess is mostly in the right rib area and upper abdominal area. If you tap the right rib with a fist, there will be persistent dull pain.
However, diabetic patients often have vascular and neuropathy, decreased sensitivity to pain, local symptoms and signs are not typical, and early diagnosis is easy to be missed. Therefore, blood sugar should be stabilized as much as possible.
Diabetes can lead to complications such as liver abscesses, which can easily allow bacteria to empty the liver and seriously damage health. If you want to minimize the harm of diabetes, the premise is to control sugar smoothly.
(I am a big doctor official WeChat)