Salmonella enterica Serovar Enteritidis Liver Abscess after Blunt Abdominal Trauma
| Autor: | Ivo Coza, Emil Kinda, Ante Gojević, Agata Ladic, Igor Petrović |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Salmonella
medicine.medical_specialty medicine.medical_treatment Salmonella enteritidis abscess lcsh:Medicine Case Report liver medicine.disease_cause medicine Abscess business.industry lcsh:R liver abscess General Medicine medicine.disease Surgery Salmonella enteritidis liver abscess medicine.anatomical_structure Abdominal trauma Blunt trauma Abdomen Cholecystectomy business Liver abscess |
| Zdroj: | Balkan Medical Journal Balkan Medical Journal, Vol 34, Iss 5, Pp 469-472 (2017) Volume: 34, Issue: 5 469-472 |
| ISSN: | 2146-3131 2146-3123 |
| DOI: | 10.4274/balkanmedj.2016.1199 |
| Popis: | Background Salmonella enterica serovar Enteritidis is among the most reported serotypes of Salmonella species worldwide, but is rarely reported as the causative agent of a liver abscess. Case report We present a patient with an abdominal blunt trauma. An initial abdominal computed tomography scan revealed a rupture of the right kidney and of the liver. Two days later, his physical state deteriorated and a new computed tomography scan was obtained. An extremely large 8-centimetre liver abscess was verified. Due to the unsatisfying response to antibiotic therapy and percutaneous drainage, we operated on the patient. An appendectomy, cholecystectomy and bisegmental liver resection were performed. An intraoperative swab from the abscess was positive for Salmonella enterica serovar Enteritidis. The patient was given intravenous ciprofloxacine. The post-operative course was complicated by a Coagulase-negative Staphylococcus infection of the wound, which improved with antibiotic therapy. Conclusion Blunt abdominal trauma may initiate an unpredictable course of the disease in chronic Salmonella carriers. |
| Databáze: | OpenAIRE |
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