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[A case of liver abscess with meningitis and endophthalmitis: invasive liver abscess syndrome].
Mizuta, Kazuya; Koga, Futa; Kawazoe, Yuka; Murayama, Kenichiro; Nakashita, Shunya; Oza, Noriko.
Afiliação
  • Mizuta K; Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan.
  • Koga F; Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital.
  • Kawazoe Y; Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan.
  • Murayama K; Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan.
  • Nakashita S; Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan.
  • Oza N; Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan.
Nihon Shokakibyo Gakkai Zasshi ; 121(3): 237-244, 2024.
Article em Ja | MEDLINE | ID: mdl-38462472
ABSTRACT
A woman in her 70s was hospitalized and was diagnosed with liver abscess and managed with antibiotics in a previous hospital. However, she experienced altered consciousness and neck stiffness during treatment. She was then referred to our hospital. On investigation, we found that she had meningitis and right endophthalmitis concurrent with a liver abscess. Klebsiella pneumoniae was detected from both cultures of the liver abscess and effusion from the cornea. A string test showed a positive result. Therefore, she was diagnosed with invasive liver abscess syndrome. Although she recovered from the liver abscess and meningitis through empiric antibiotic treatment, her right eye required ophthalmectomy. In cases where a liver abscess presents with extrahepatic complications, such as meningitis and endophthalmitis, the possibility of invasive liver abscess syndrome should be considered, which is caused by a hypervirulent K. pneumoniae.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por Klebsiella / Endoftalmite / Abscesso Hepático / Meningite Limite: Aged / Female / Humans Idioma: Ja Revista: Nihon Shokakibyo Gakkai Zasshi Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por Klebsiella / Endoftalmite / Abscesso Hepático / Meningite Limite: Aged / Female / Humans Idioma: Ja Revista: Nihon Shokakibyo Gakkai Zasshi Ano de publicação: 2024 Tipo de documento: Article