Liver Abscess Associated with Maternal Perinatal Infection in a Premature Infant
Journal of the Korean Society of Neonatology
; : 105-110, 2008.
Article
en Ko
| WPRIM
| ID: wpr-86426
Biblioteca responsable:
WPRO
ABSTRACT
Neonatal liver abscesses are rare, carry a high mortality rate, and are difficult to diagnose. The diagnosis of liver abscesses in the neonate cannot be established from the clinical presentation alone. Risk factors for liver abscesses in neonates are maternal infection, sepsis, umbilical venous catheterization, omphalitis, and necrotizing enterocolitis. In this report, we describe a preterm infant (32 weeks, 1,580 g) who presented with abdominal distension, respiratory difficulties, and a persistent inflammatory response in spite of broad spectrum antibiotic treatment; a large (6x5 cm) solitary pyogenic liver abscess was identified at 9 days of age. It appeared that the liver abscess had originated in the uterus and umbilical venous catheterization facilitated its spread. Percutaneous drainage under abdominal ultrasound guidance was performed and prolonged antibiotics were treated for 5 weeks, effecting a cure.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Útero
/
Recien Nacido Prematuro
/
Cateterismo
/
Drenaje
/
Factores de Riesgo
/
Sepsis
/
Enterocolitis Necrotizante
/
Absceso Piógeno Hepático
/
Catéteres
/
Hígado
Tipo de estudio:
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
/
Newborn
Idioma:
Ko
Revista:
Journal of the Korean Society of Neonatology
Año:
2008
Tipo del documento:
Article