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Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock

Emphysematous hepatitis is a rare entity characterized by the replacement of hepatic parenchyma by gas, leading to acute liver failure. Often it occurs in patients with diabetes mellitus, liver disease or a recent history of abdominal surgery. We present a case of emphysematous hepatitis in a 74-yea...

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Autores principales: Miranda, Gonçalo, Dionísio, Ana Catarina, Azevedo, Constança, Carvalho, Eduardo, Semião, Miguel, Branco, Vítor, Castelo-Branco, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SMC Media Srl 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213836/
https://www.ncbi.nlm.nih.gov/pubmed/32399443
http://dx.doi.org/10.12890/2020_001539
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author Miranda, Gonçalo
Dionísio, Ana Catarina
Azevedo, Constança
Carvalho, Eduardo
Semião, Miguel
Branco, Vítor
Castelo-Branco, Miguel
author_facet Miranda, Gonçalo
Dionísio, Ana Catarina
Azevedo, Constança
Carvalho, Eduardo
Semião, Miguel
Branco, Vítor
Castelo-Branco, Miguel
author_sort Miranda, Gonçalo
collection PubMed
description Emphysematous hepatitis is a rare entity characterized by the replacement of hepatic parenchyma by gas, leading to acute liver failure. Often it occurs in patients with diabetes mellitus, liver disease or a recent history of abdominal surgery. We present a case of emphysematous hepatitis in a 74-year-old man with no recognizable risk factors. Despite the early broad-spectrum antimicrobial therapy and supportive care, the condition progressed to a fatal outcome, as seen in other case reports. Early recognition of this condition and rapid and aggressive management may improve patient outcomes. LEARNING POINTS: Emphysematous hepatitis is a rare condition characterized by replacement of hepatic parenchyma by gas. The diagnosis of emphysematous hepatitis requires imaging, preferably a computed tomography scan. Emphysematous hepatitis warrants awareness among clinicians for early diagnosis and rapid and aggressive management.
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spelling pubmed-72138362020-05-12 Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock Miranda, Gonçalo Dionísio, Ana Catarina Azevedo, Constança Carvalho, Eduardo Semião, Miguel Branco, Vítor Castelo-Branco, Miguel Eur J Case Rep Intern Med Articles Emphysematous hepatitis is a rare entity characterized by the replacement of hepatic parenchyma by gas, leading to acute liver failure. Often it occurs in patients with diabetes mellitus, liver disease or a recent history of abdominal surgery. We present a case of emphysematous hepatitis in a 74-year-old man with no recognizable risk factors. Despite the early broad-spectrum antimicrobial therapy and supportive care, the condition progressed to a fatal outcome, as seen in other case reports. Early recognition of this condition and rapid and aggressive management may improve patient outcomes. LEARNING POINTS: Emphysematous hepatitis is a rare condition characterized by replacement of hepatic parenchyma by gas. The diagnosis of emphysematous hepatitis requires imaging, preferably a computed tomography scan. Emphysematous hepatitis warrants awareness among clinicians for early diagnosis and rapid and aggressive management. SMC Media Srl 2020-03-25 /pmc/articles/PMC7213836/ /pubmed/32399443 http://dx.doi.org/10.12890/2020_001539 Text en © EFIM 2020 This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Articles
Miranda, Gonçalo
Dionísio, Ana Catarina
Azevedo, Constança
Carvalho, Eduardo
Semião, Miguel
Branco, Vítor
Castelo-Branco, Miguel
Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
title Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
title_full Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
title_fullStr Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
title_full_unstemmed Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
title_short Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
title_sort fulminant emphysematous hepatitis – a rare cause of septic shock
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213836/
https://www.ncbi.nlm.nih.gov/pubmed/32399443
http://dx.doi.org/10.12890/2020_001539
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