Cargando…
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...
Autores principales: | , , , , , , |
---|---|
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 |
_version_ | 1783531863016472576 |
---|---|
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. |
format | Online Article Text |
id | pubmed-7213836 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SMC Media Srl |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT mirandagoncalo fulminantemphysematoushepatitisararecauseofsepticshock AT dionisioanacatarina fulminantemphysematoushepatitisararecauseofsepticshock AT azevedoconstanca fulminantemphysematoushepatitisararecauseofsepticshock AT carvalhoeduardo fulminantemphysematoushepatitisararecauseofsepticshock AT semiaomiguel fulminantemphysematoushepatitisararecauseofsepticshock AT brancovitor fulminantemphysematoushepatitisararecauseofsepticshock AT castelobrancomiguel fulminantemphysematoushepatitisararecauseofsepticshock |