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Complicated Isolated Liver Abscess Caused by Viridans Group Streptococci Leading to Right Hepatectomy.

التفاصيل البيبلوغرافية
العنوان: Complicated Isolated Liver Abscess Caused by Viridans Group Streptococci Leading to Right Hepatectomy.
المؤلفون: Ahmed MF; Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA., Abbasi Z; Internal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK., Das S; Internal Medicine, Kingsbrook Jewish Medical Center, Brooklyn, USA., Aggarwal A; Surgery, Brookdale University Hospital Medical Center, Brooklyn, USA., Sahni S; Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA.; Research Medicine, New York Institute of Technology College of Osteopathic Medicine, New York, USA.; Primary Care, Touro College of Osteopathic Medicine, New York, USA.
المصدر: Cureus [Cureus] 2020 Jul 12; Vol. 12 (7), pp. e9149. Date of Electronic Publication: 2020 Jul 12.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: Electronic Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Pyogenic liver abscesses (PLAs) secondary to bacterial etiologies are most often seen in developing countries and are less common in North America. The predominant etiology is infection occurring in the setting of direct extension of hepatobiliary or intestinal infection. The most common pathogen isolated from a PLA in the United States is Escherichia coli , whereas Streptococcus viridans is a rare entity in the developed world. Herein we report a rare case of a complicated isolated PLA in a patient without any known comorbidities which lead to hepatectomy. The patient was born and raised in the United States with no recent travel history. The patient was found to have 10 cm isolated multicystic mass on imaging confirmed later as vancomycin-resistant Streptococcus viridans PLA. The patient was treated with multiple intravenous antibiotics and underwent multiple ultrasound-guided percutaneous abscess drainages by interventional radiology, but all unsuccessful. The patient underwent right posterior liver lobectomy, thereafter making a quick recovery and was discharged. Our case underlines the significance of considering liver abscess as a differential even in previously healthy individuals with no known prior comorbid conditions, as prompt recognition is imperative in preventing morbidity and mortality.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Ahmed et al.)
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فهرسة مساهمة: Keywords: hepatectomy; pyogenic liver abscess; streptococcus viridans; ultrasound-guided drianage
تواريخ الأحداث: Date Created: 20200814 Latest Revision: 20200928
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7417323
DOI: 10.7759/cureus.9149
PMID: 32789086
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.9149