Beyond the Liver: A Unique Case of Pyogenic Liver Abscess Caused by Peptostreptococcus micros Penetrating the Chest Wall.

Autor:	Isaac-Coss G; Internal Medicine, The Brooklyn Hospital Center, New York, USA., Chow A; Infectious Diseases, State University of New York (SUNY) Downstate Health Sciences University, New York, USA., Reddy M; Gastroenterology and Hepatology, The Brooklyn Hospital Center, New York, USA., Kumar V; Internal medicine, Jinnah Sindh Medical University, Karachi, PAK.; Internal Medicine, The Brooklyn Hospital Center, Brooklyn, USA., Nawaz M; Gastroenterology and Hepatology, The Brooklyn Hospital Center, New York, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 09; Vol. 16 (7), pp. e64177. Date of Electronic Publication: 2024 Jul 09 (Print Publication: 2024).
DOI:	10.7759/cureus.64177
Abstrakt:	Liver abscesses are uncommon pyogenic infections with diverse microbiology, often involving enteric gram-negative bacilli such as Escherichia coli and Klebsiella pneumoniae . Standard management includes antibiotic therapy and abscess drainage. We present a case of a 37-year-old male with chronic right upper quadrant abdominal pain, who was found to have an enlarging liver mass infiltrating the chest wall and right-side chest ribs, ultimately diagnosed as a large pyogenic liver abscess (PLA) extending into the chest wall. Notably, the abscess was attributed to Peptostreptococcus micros , a rarely isolated pathogen in liver abscesses. Despite initial unsuccessful percutaneous drainage, surgical intervention proved necessary for definitive treatment. This case underscores the diagnostic challenge posed by uncommon pathogens in liver abscesses and emphasizes the effectiveness of surgical drainage in managing refractory cases. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Isaac-Coss et al.)
Databáze:	MEDLINE
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