Pyogenic Liver Abscess with No Predisposing Risk Factors

Joint Authors

Shamban, Leonid
Chadwick, Matthew
Neumann, Michael

Source

Case Reports in Gastrointestinal Medicine

Issue

Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2018-09-04

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Diseases

Abstract EN

Pyogenic liver abscesses (PLA) are an uncommon cause of hospitalization in the United States.

The majority of such cases are polymicrobial and are most commonly caused by seeding of infection from the biliary system.

PLA is frequently associated with specific comorbidities such as diabetes mellitus, history of liver transplant, underlying hepatobiliary, or pancreatic disease.

Herein, we describe a 47-year-old healthy male with no known risk factors associated with PLA who presented to the hospital with acute fever, abdominal pain, and dark colored urine.

Initially the patient had a negative right upper quadrant ultrasound.

However, the patient continued to have persistent fevers and abnormal liver biochemistries with negative liver serology that led to checking a magnetic resonance cholangiopancreatography which suggested multiple liver abscesses.

Computer tomography guided aspiration revealed a monobacterial Streptococcus species within the abscess, which is commonly associated with arterial bacteremia as a source of PLA.

Arterial bacteremia is one of most rare causes of PLA.

The patient’s septic workup was negative for any source of infection.

This case demonstrates a patient with no risk factors who was diagnosed with PLA caused by apparent arterial bacteremia with no clear source of infection.

American Psychological Association (APA)

Chadwick, Matthew& Shamban, Leonid& Neumann, Michael. 2018. Pyogenic Liver Abscess with No Predisposing Risk Factors. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143678

Modern Language Association (MLA)

Chadwick, Matthew…[et al.]. Pyogenic Liver Abscess with No Predisposing Risk Factors. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1143678

American Medical Association (AMA)

Chadwick, Matthew& Shamban, Leonid& Neumann, Michael. Pyogenic Liver Abscess with No Predisposing Risk Factors. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1143678

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1143678