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. 2004 Jun;42(6):2783-5.
doi: 10.1128/JCM.42.6.2783-2785.2004.

Clinical significance and mechanism of gas formation of pyogenic liver abscess due to Klebsiella pneumoniae

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Clinical significance and mechanism of gas formation of pyogenic liver abscess due to Klebsiella pneumoniae

Hsin-Ling Lee et al. J Clin Microbiol. 2004 Jun.

Abstract

We enrolled 22 patients with gas-forming pyogenic liver abscess in a study to assess the mechanism of gas formation. Klebsiella pneumoniae was cultured from specimens from all patients. Gas and pus samples from abscesses revealed four major components: nitrogen, oxygen, carbon dioxide, and hydrogen; this implicates mixed acid fermentation of glucose as the mechanism of gas formation.

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Figures

FIG. 1.
FIG. 1.
Chest radiograph showing gas with alveolar pattern in the liver (arrows).
FIG. 2.
FIG. 2.
Nonenhanced computerized tomograph of the abdomen confirming a huge gas-containing abscess with air-fluid level in the right lobe of the liver parenchyma (arrows).

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