Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock
  • Gonçalo Miranda
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal http://orcid.org/0000-0002-5011-0940
  • Ana Catarina Dionísio
    Internal Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal
  • Constança Azevedo
    Surgery Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal
  • Eduardo Carvalho
    Intensive Care Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal
  • Miguel Semião
    Surgery Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal; Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilha, Portugal
  • Vítor Branco
    Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilha, Portugal
  • Miguel Castelo-Branco
    Intensive Care Medicine Department, Centro Hospitalar Universitário Cova da Beira, Covilha, Portugal; Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilha, Portugal

Keywords

Fulminant emphysematous hepatitis, acute liver failure, septic shock

Abstract

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.

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References

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    Published: 2020-03-25
    Issue: 2020: Vol 7 No 5 (view)


    How to cite:
    1.
    Miranda G, Dionísio AC, Azevedo C, Carvalho E, Semião M, Branco V, Castelo-Branco M. Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock. EJCRIM 2020;7 doi:10.12890/2020_001539.

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