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Liver abscess caused by Salmonella choleraesuis

Authors Kamatani T, Okada T, Iguchi H, Takahashi Y, Yokomori H

Received 8 January 2014

Accepted for publication 18 February 2014

Published 20 April 2015 Volume 2015:8 Pages 155—161


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Takashi Kamatani,1 Takemichi Okada,2 Hiroyoshi Iguchi,2 Yoshihito Takahashi,3 Hiroaki Yokomori1

1Department of Internal Medicine, 2Department of Radiology, 3Department of Surgery, Kitasato University Medical Center, Saitama, Japan

Abstract: A 65-year-old man with long-term alcohol abuse presented with intermittent fever. Abdominal computed tomography revealed multiple masses. Abscess blood and pus cultures conducted after percutaneous catheter drainage with pigtail catheters yielded Salmonella choleraesuis. Antibiotic treatment with meropenem was started using multiple catheters in the liver. Drainage catheters in different locations were exchanged several times with larger-bored catheters. After septicemia was detected, abscesses spread to the peritoneal cavity. Pleural complications developed. Antibiotic treatment, with careful drainage guided by ultrasound or computed tomography, controlled the abscesses and complications. This report describes the difficult clinical course and treatment of a liver abscess from S. choleraesuis.

Keywords: liver abscess, Salmonella choleraesuis, bacteremia, CT

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