Hepatic hydrothorax: indwelling catheter-related Acinetobacter radioresistens infection
| Autor: | Cristiano Silva Cruz, Paula Oliveira Nascimento, Rita Barata Moura, Valentina Tosatto |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Alcoholic liver disease Cirrhosis HSM MED Hydrothorax / therapy Hepatosplenomegaly Hydrothorax / diagnostic imaging Liver Cirrhosis Alcoholic / complications Chronic liver disease Hydrothorax / etiology 03 medical and health sciences 0302 clinical medicine Acinetobacter radioresistens medicine Humans 030212 general & internal medicine Aged Acinetobacter biology business.industry Catheters Indwelling / adverse effects General Medicine Acinetobacter Infections / etiology medicine.disease biology.organism_classification Empyema Surgery Radiography 030228 respiratory system Portal hypertension medicine.symptom Complication business |
| Zdroj: | BMJ Case Reports. 12:e227635 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2018-227635 |
| Popis: | Hepatic hydrothorax, a rare and debilitating complication of cirrhosis, carries high morbidity and mortality. First-line treatment consists of dietary sodium restriction and diuretic therapy. Some patients, mainly those who are refractory to medical management, will require invasive pleural drainage. The authors report the case of a 76-year-old man in a late cirrhotic stage of alcoholic chronic liver disease, presenting with recurrent right-sided hepatic hydrothorax, portal hypertension, hepatosplenomegaly and thrombocytopaenia. After recurrent admissions and complications, the potential for adjusting diuretic therapy was limited. After unsuccessful talc pleurodesis, an indwelling tunnelled pleural catheter was placed with effective symptomatic control. One month later, the patient was readmitted with empyema due to Acinetobacter radioresistens. Despite optimised medical and surgical treatment, the patient died 4 weeks later. |
| Databáze: | OpenAIRE |
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