ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ ÁP XE GAN DO VI KHUẨN Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYP 2

Abstract

Objective: To describe clinical, subclinical characteristics and treatment outcomes of pyogenic liver abscess in type 2 diabetes. Subject and method: Retrospectively and prospectively study 48 patients were diagnosed with pyogenic liver abscess had positive cultered bacterial in type 2 diabetes which treated at bạch mai Hospital from 1/2022 to 4/2024. Result: The majority of patients presented with fever (94.8%); right upper abdominal pain in (93.1%); In addition to diabetes, other common comorbidities were gallstones (13.8%), alcohol abuse (10.3%); leukocytosis 75%; hypoalbuminemia (63.8%). The average value of Glucose was 12.7 ± 4.3 mmo/l, HbA1c (9.2 ± 1.8%).  69% with a solitary abscess, 79.3% in the right hepatic lobe, 29.3% gas formation. Common bacteriological characteristics were Klebsiella pneumoniae (89.7%) and Escherichia coli 3.4%. The average hospital stay of the patients were 15.3 days, arrange 4 – 52 days. The average number of days without fever is 3.9 days. 67.2% of patients recovered and 32.8% of patients were transferred to lower levels, no patients died. Hyperglycemia, increased CRP, leukocytosis and hypoalbuminemia affect hospital stay. Conclusion: Pyogenic liver abscess in type 2 diabetes has prominent symptoms such as fever, right upper abdominal pain, with a single abscess in the right hepatic lobe and the main bacteriological characteristics is Klebsiella pneumoniae. Hyperglycemia, increased CRP, leukocytosis and hypoalbuminemia affect hospital stay.