Uncontrolled Type 2 Diabetes Mellitus Induces an Enterococcus faecalis Lung Abscess: A case report

Wayan Ferly Aryana, Adityo Wibowo, Achmad Gozali, Tito Tri Saputra, I Made Afryan SL, Isura Febrihartati

Abstract

The incidence of lung abscess has increased due to the rise in antibiotic resistence, aging population, and immunocompromisedpatients. Lung abscess is associated with high mortality rates, ranging from 1—20% globally, long treatment cycles, andsignificant management costs. Uncontrolled diabetes mellitus can lead patients to immunocompromised conditions, andpredisposing them to infectious disease. This study is a case report with data obtained through self-history, physicalexamination, and supporting examinations. A 49-year-old female patient presented with complaints of dyspnea, productivecough, and fever. The patient had a history of uncontrolled type 2 diabetes mellitus. Chest examination showed a decreased oftactile fremitus on the left lung field, dullness on percussion of the left lung field, and decreased vesicular sound on auscultationof the left lung field. Laboratory and radiological examinations were also carried out, which indicating suspicion of left lungabscess. The patient received treatments and showed clinical improvement to better condition.Keywords: Lung Abscess, Type II Diabetes Mellitus, Radiology