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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  • Published: 2020-03-25

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Miranda, G., Dionísio, A., Azevedo, C., Carvalho, E., Semião, M., Branco, V., & Castelo-Branco, M. (2020). Fulminant Emphysematous Hepatitis – A Rare Cause of Septic Shock. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2020_001539