Pyogenic Liver Abscess Caused by Methicillin-Susceptible Staphylococcus aureus in a 21-Year-Old Male.

Autor: Igbinedion S; Department of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA., Mavuram MS; Department of Internal Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA., Boktor M; Department of Gastroenterology and Hepatology, Louisiana State University Health Sciences Center, Shreveport, LA, USA., Bienvenu J; Department of Gastroenterology and Hepatology, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Jazyk: angličtina
Zdroj: Case reports in hepatology [Case Reports Hepatol] 2018 Jun 19; Vol. 2018, pp. 9868701. Date of Electronic Publication: 2018 Jun 19 (Print Publication: 2018).
DOI: 10.1155/2018/9868701
Abstrakt: Liver abscesses are the most common types of visceral abscesses. Pyogenic liver abscesses, a particular type of liver abscesses, are uncommonly encountered. We present a rare case of pyogenic liver abscess caused by methicillin-susceptible Staphylococcus aureus in a young man. A 21-year- old man presented from prison to the hospital with fever, nausea, vomiting, diarrhea, and abdominal pain for five days. Labs were significant for leukocytosis with predominant neutrophilia and elevated liver enzymes. CT abdomen with contrast revealed an 8.4 cm multiloculated right hepatic mass extending to the kidney. Patient was started on broad spectrum antibiotics, given septic presentation. Peripheral blood cultures returned positive for methicillin-susceptible Staphylococcus aureus (MSSA). The culture from percutaneous drainage also revealed MSSA. He received a total of four weeks of IV Nafcillin therapy along with drainage of his abscess via percutaneous catheter. Follow-up revealed clinical resolution. This case highlights the importance of obtaining an aspirate from the liver abscess to better guide treatment strategy. Clinicians must consider broadening antibiotic coverage to include gram-positive organisms if the patient presents with severe illness and risk factors for Staphylococcus aureus infections.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje