Subject(s)
Adenocarcinoma/surgery , Anesthesia, Intravenous , Bernard-Soulier Syndrome/physiopathology , Colectomy/methods , Colonic Neoplasms/surgery , Coronary Artery Bypass , Hemorrhagic Disorders/physiopathology , Leukopenia/physiopathology , Anesthetics, Intravenous/administration & dosage , Anticoagulants/administration & dosage , Anticoagulants/therapeutic use , Aprotinin , Bernard-Soulier Syndrome/genetics , Deamino Arginine Vasopressin/therapeutic use , Drainage , Erythrocyte Transfusion , Extracorporeal Circulation , Genes, Dominant , Hemorrhagic Disorders/genetics , Hemostatics/therapeutic use , Heparin/administration & dosage , Heparin/therapeutic use , Humans , Leukopenia/genetics , Male , Middle Aged , Molecular Motor Proteins/deficiency , Molecular Motor Proteins/genetics , Myosin Heavy Chains/deficiency , Myosin Heavy Chains/genetics , Peptic Ulcer Hemorrhage/therapy , Plasma , Platelet Count , Platelet Transfusion , Pleural Effusion/surgery , Postoperative Complications/therapy , Postoperative Hemorrhage/prevention & control , Propofol/administration & dosage , Sclerotherapy , SyndromeABSTRACT
Hepatic involvement in infections caused by Brucella organisms is common but the production of liver abscess is exceptional. Therefore, the most appropriate therapeutic approach is unclear. The use of antibiotics can be effective but in some cases abscess drainage is required. We report here a case of brucellar hepatic abscess and a review of fourteen cases reported in the literature. An emphasis is laid on the clinical, laboratory and radiological findings, treatment, and patient evolution. On the basis of the reported cases a therapeutic approach is proposed.
Subject(s)
Brucellosis/diagnosis , Liver Abscess/diagnosis , Brucellosis/drug therapy , Humans , Liver Abscess/drug therapy , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Male , Aged , Humans , Blood Platelets/pathology , Thrombocytopenia/genetics , Anesthesia, General , Thrombocytopenia/complications , Syndrome , Antibiotic Prophylaxis , Postoperative Hemorrhage , Platelet Transfusion , Hemostatics/therapeutic use , Intraoperative PeriodABSTRACT
La afectación hepática en las infecciones por Brucella es frecuente, pero la aparición de un absceso hepático es excepcional, por lo que no está claro cuál es la aproximación terapéutica inicial más apropiada. La antibioterapia puede ser eficaz, pero en algunos casos es necesario el drenaje del absceso.Describimos un caso de absceso hepático por Brucella y una revisión de 14 casos recogidos de la literatura, en especial la forma de presentación clínica, las anomalías bioquímicas y radiológicas, los tratamientos empleados y la evolución de los pacientes. Se propone una aproximación terapéutica farmacológica basada en los casos publicados (AU)