Successful Use of Tissue Plasminogen Activator in an Adolescent Male with Pyogenic Liver Abscess
| Autor: | Sonal Patel, Janine E. Zee-Cheng, Samer Abu-Sultaneh, Thomas G. Fox |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pyogenic liver abscess
medicine.medical_specialty Abdominal pain Percutaneous business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid Catheter Obstruction Case Report lcsh:RC86-88.9 Critical Care and Intensive Care Medicine medicine.disease Tissue plasminogen activator Surgery 03 medical and health sciences Catheter 0302 clinical medicine 030220 oncology & carcinogenesis medicine Chills 030212 general & internal medicine medicine.symptom business Liver abscess medicine.drug |
| Zdroj: | Case Reports in Critical Care, Vol 2019 (2019) Case Reports in Critical Care |
| ISSN: | 2090-6439 2090-6420 |
| DOI: | 10.1155/2019/5735312 |
| Popis: | Large pyogenic liver abscess is a rare and difficult to treat entity in pediatric patients. Percutaneous drainage rather than open surgical drainage has become more common in recent years, even for large abscesses. Percutaneous drainage can be complicated by catheter obstruction. We present the case of a 16-year-old male presenting with abdominal pain, fever, and chills. He was diagnosed with a 9-centimeter liver abscess. A CT-guided percutaneous drainage was placed. The catheter initially drained well, but then became occluded. Tissue plasminogen activator was instilled into the catheter every 6 hours for a total of five doses, resulting in increased drainage and improved clinical state of the patient. To our knowledge, this is the first reported use of tissue plasminogen activator in pyogenic liver abscess in the pediatric population. |
| Databáze: | OpenAIRE |
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