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Abstract Gas-forming pyogenic liver abscess (GFPLA) is a rare and highly fatal subtype of bacterial liver abscess, closely related to diabetes and hypervirulent Klebsiella pneumoniae infection. This case series analyzed seven patients diagnosed with GFPLA by CT, aiming to explore their clinical characteristics and prognosis. Among the patients, four died, with a total mortality rate of 57.1%, significantly higher than the 27.7%−37.1% reported in the literature.
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