Liver Abscesses after Peritoneal Venous Shunt
| Autor: | Tatsuhiro Tsujimoto, Hideto Kawaratani, Yousuke Aihara, Toshiaki Takaya, Masakazu Uejima, Ryuichi Noguchi, Kei Moriya, Takuya Kubo, Hitoshi Yoshiji, Hiroshi Fukui |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Cirrhosis medicine.drug_class Antibiotics Published online: May 2013 Denver shunt Diabetes mellitus medicine Blood culture lcsh:RC799-869 medicine.diagnostic_test business.industry Gastroenterology Peritoneal venous shunt medicine.disease Liver abscess Shunt (medical) Surgery Selective intestinal decontamination Liver cirrhosis Venous shunt lcsh:Diseases of the digestive system. Gastroenterology Chills medicine.symptom business |
| Zdroj: | Case Reports in Gastroenterology, Vol 7, Iss 2, Pp 245-250 (2013) Case Reports in Gastroenterology |
| ISSN: | 1662-0631 |
| DOI: | 10.1159/000351833 |
| Popis: | A 70-year-old man was referred to our hospital for high-grade fever with chills. He has visited our hospital for alcoholic liver cirrhosis and diabetes mellitus for over 20 years. Nine months earlier, he had received a peritoneal venous shunt (Denver shunt®) because of refractory ascites. Laboratory examinations revealed elevated C-reactive protein and liver dysfunction. Ultrasonography and abdominal enhanced computed tomography showed multiple small abscesses in the right lobe of the liver. Blood culture test did not detect the pathogenic bacteria of liver abscesses. The patient was treated with antibiotics for more than 2 months and cured from the infection, but 3 months later, he developed high-grade fever again. He had a recurrence of multiple small liver abscesses involving both lobes of the liver. He was treated with antibiotics, and the abscesses disappeared within a month. After the antibiotic treatment, he had selective intestinal decontamination with kanamycin. He has had no recurrence of liver abscess for over a year. To our knowledge, this is the first report of liver abscess in a cirrhotic patient with Denver shunt. Clinicians should bear liver abscess in mind when treating patients with high-grade fever and liver dysfunction following Denver shunt implantation. |
| Databáze: | OpenAIRE |
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