This case report highlights successful antibiotic treatment for emphysematous hepatitis in a patient with acute myeloid leukemia, suggesting potential for conservative management.
Emphysematous hepatitis (EH) is a rare and fatal liver infection characterized by gas replacement of the liver parenchyma. We report a case of a 69-year-old male who was admitted for chemotherapy for acute myeloid leukemia (AML). On admission, he presented with fever and right hypochondrial pain, and EH was diagnosed by computed tomography (CT). Although invasive procedures were withheld due to thrombocytopenia, the patient was successfully treated with antibiotics alone. EH may be managed conservatively if diagnosed at an early stage.
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Chen et al. (2025) studied this question.
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