Septic shock caused by emphysematous hepatitis complicated with intracranial infection

IF 1.1 Q4 INFECTIOUS DISEASES IDCases Pub Date : 2025-01-01 DOI:10.1016/j.idcr.2025.e02159

Miao Chen , Jianbo Chen , Zhengzhi Zhuang , Xiaojun He , Yue Wang , Junwen Liang , Runpei Lin , Gengxin Cai

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Abstract

Purpose

Emphysematous hepatitis is an uncommon and life-threatening hepatic infection, characterized by the presence of gas within the liver and high mortality. There are few reports of this condition.

Method

We report a case of septic shock caused by emphysematous hepatitis complicated with intracranial infection, and review the current literature on emphysematous hepatitis.

Results

A 57-year-old male with uncontrolled diabetes mellitus developed emphysematous hepatitis complicated with intracranial infection, which progressed to septic shock. The patient was treated with antibiotics and received percutaneous liver puncture drainage early and was discharged preferably in remission. From the literature review, we found 16 previously published cases of emphysematous hepatitis.

Conclusion

Given our experience and the literature review, percutaneous liver puncture drainage or surgical treatment in the early stage may be beneficial to patients with emphysematous hepatitis.

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