The clinical features and cure methods of diabetes companied with pyogenic hepatic abscess

Objectives To investigate the clinical features and therapy of diabetes companied with pyogenic hepatic abscess (DPHA). Methods The clinical data of 16 cases of DPHA and 16 cases of nondiabetes companied with pyogenic hepatic abscess (NDPHA) in our hospital from 1997 to 2006 were analyzed in this retrospective study. Results The rates of atypical manifestations, complications such as biliary tract infections, pleural effusion or pneumonia, anemia, mean blood ALT values and hospitalization days in DPHA patients were higher than those in NDPHA patients respectively, while cure rates in DPHA patients were lower. There were significant differences in those data between two groups (P~0.05). All of 6 pathogens isolated from DPHA patients were Klebsiella pneumoniae, and 5 pathogens isolated from NDPHA patients included 3 strains of Klebsiella pneumoniae, 1 strains of Eschedchia coli and I strains of Pseudomonas. Conclusions Atypical manifestations, severe state and Klebsiella pneumoniae infections were common in DPHA patients. DPHA should be treated with individual and comprehensive approaches in time. Earlier surgical processes should be taken if necessary.