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Liver Abscess

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121. The Evolving Nature of Hepatic Abscess: A Review Full Text available with Trip Pro

The Evolving Nature of Hepatic Abscess: A Review Hepatic abscess (HA) remains a serious and often difficult to diagnose problem. HAs can be divided into three main categories based on the underlying conditions: infectious, malignant, and iatrogenic. Infectious abscesses include those secondary to direct extension from local infection, systemic bacteremia, and intra-abdominal infections that seed the portal system. However, over the years, the etiologies and risks factors for HA have continued

2016 Journal of clinical and translational hepatology

122. Liver Abscess and Portal Vein Thrombosis Due to Ileal Diverticulitis Mediated by Barium Fluoroscopy Full Text available with Trip Pro

Liver Abscess and Portal Vein Thrombosis Due to Ileal Diverticulitis Mediated by Barium Fluoroscopy We report a case of liver abscess and portal vein thrombosis, which occurred due to diverticulitis at the terminal ileum in a 59-year-old man. The patient underwent a barium fluoroscopic examination 1 month before presenting to our hospital. He also showed liver dysfunction due to thrombosis at the superior mesenteric and portal veins. His inflammation gradually subsided after the initiation

2017 Internal Medicine

123. Liver abscess and sepsis caused by Clostridium perfringens and Klebsiella oxytoca Full Text available with Trip Pro

Liver abscess and sepsis caused by Clostridium perfringens and Klebsiella oxytoca Clostridium (C) perfringens and Klebsiella (K) oxytoca are pathogenous human bacteria. Due to the production of several toxins C. perfringens is virulent by causing i.a. the necrotizing fasciitis, gas gangrene and hepatic abscess. K. oxytoca mostly causes infections of the respiratory and gastrointestinal tract.We are presenting the case of a male patient at the age of 64, who suffered from nausea and progressive (...) pain in the right upper abdomen. A computer tomography of the abdomen revealed a 7×5,6cm sized entrapped air in liver segment VII. Later the patient developed a multiorgan failure. We then performed an explorative laparotomy. Intraoperatively it became clear that the liver was destructed presenting an open liver abscess (LA) cavity of segment VII. The gallbladder was found inflamed. We successfully conducted the consistent debridement of segment VII and removed the gallbladder. Microbiological

2017 International journal of surgery case reports

124. Liver Abscess Associated Sepsis Caused by Fish Bone Ingestion Full Text available with Trip Pro

Liver Abscess Associated Sepsis Caused by Fish Bone Ingestion 28868489 2018 11 13 2341-4545 23 6 2016 Nov-Dec GE Portuguese journal of gastroenterology GE Port J Gastroenterol Liver Abscess Associated Sepsis Caused by Fish Bone Ingestion. 322-323 10.1016/j.jpge.2016.03.006 Peixoto Armando A Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal. Gonçalves Regina R Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal. Macedo Guilherme G (...) Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal. eng Journal Article 2016 06 21 Switzerland GE Port J Gastroenterol 101685861 2387-1954 Fishes Foreign Bodies Liver Abscess Sepsis 2016 02 12 2016 03 13 2017 9 5 6 0 2016 6 21 0 0 2016 6 21 0 1 epublish 28868489 10.1016/j.jpge.2016.03.006 S2341-4545(16)30024-2 PMC5580013 Lancet. 2002 Mar 16;359(9310):977 11918943 Klin Khir. 1992;(11):75-6 1296086 Clin Infect Dis. 2005 Dec 1;41(11):1689-90 16267752 ANZ J Surg. 2011 Mar;81(3):206

2016 GE Portuguese journal of gastroenterology

125. Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae Full Text available with Trip Pro

Rapidly Fatal Emphysematous Osteomyelitis with Multiple Septic Emboli and Liver Abscess Caused by Klebsiella pneumoniae Emphysematous osteomyelitis, characterized by intraosseous gas, is a rare but potentially fatal condition that requires prompt diagnosis and aggressive therapy. Causative organisms are members of the bacterial family Enterobacteriaceae or anaerobes in most cases and significant comorbidities such as diabetes mellitus and malignancy, may predispose an individual (...) to the development of emphysematous osteomyelitis. We report a case of extensive emphysematous osteomyelitis via hematogenous spread from Klebsiella pneumoniae liver abscess, complicated by gas-containing abscesses in adjacent soft tissues and epidural space, and multiple systemic septic emboli in a diabetic patient.Copyright © 2018 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy.

2017 Infection & chemotherapy

126. Are our endoscopy patients at risk for pyogenic liver abscess? Full Text available with Trip Pro

Are our endoscopy patients at risk for pyogenic liver abscess? This is an editorial comment on a recent publication reporting an increased rate of pyogenic liver abscesses (PLAs) after upper gastrointestinal panendoscopy. Its aim is to critically highlight the findings, limitations and potential clinical implications of this study. Issues of the mucosal barrier, the microbial flora, administration of antibiotics and underlying diseases are discussed. The probability of PLAs after endoscopies (...) is not exactly known and the length of the "incubation period" remains unclear, but a possible causality should already suffice to make us think how to avoid them. Especially in patients with risk factors such as diabetes mellitus, end-stage renal disease, liver cirrhosis, biliary tract infection, and malignancies, the potential risk for PLAs should be considered. Unnecessary insufflation during endoscopy (causing mucosal stretching and microscopic tears) as well as mucosal damage (by direct abrasion

2017 World Journal of Gastroenterology

127. Multiple Liver Abscesses with a Skin Pustule due to Chromobacterium violaceum Full Text available with Trip Pro

Multiple Liver Abscesses with a Skin Pustule due to Chromobacterium violaceum A 69-year-old woman was admitted to our hospital with the chief complaints of fever and fatigue. We initially treated the patient for a tick-borne disease after noticing a pustule on her leg; however, abdominal computed tomography (CT) showed multiple low-density areas in the liver and Chromobacterium violaceum was isolated from a blood culture. We diagnosed her with multiple liver abscesses secondary

2017 Internal Medicine

128. Liver Abscess Caused by Pannonibacter phragmitetus: Case Report and Literature Review Full Text available with Trip Pro

Liver Abscess Caused by Pannonibacter phragmitetus: Case Report and Literature Review Bacterial hepatic abscess is a common occurrence in developing countries, which is mostly caused by Klebsiella pneumoniae and Escherichia coli. Pannonibacter phragmitetus is a Gram-negative alkali-tolerant bacillus that exists in the natural environment. Human infection by this bacterium is rare, with only four cases reported.We presented one of these cases with a bacterial liver abscess by a polymicrobial

2017 Frontiers in medicine

129. Enteric multiplex PCR panels: A new diagnostic tool for amoebic liver abscess? Full Text available with Trip Pro

Enteric multiplex PCR panels: A new diagnostic tool for amoebic liver abscess? Invasive amoebiasis is a life-threatening infection requiring immediate detection and treatment. However, diagnosis is challenging because conventional methods such as light microscopy and serology are unreliable. Molecular techniques are therefore considered the new diagnostic reference standard, but most of the developed assays are research tools and not widely available. Recently commercial multiplex PCR panels (...) have been introduced which permit the simultaneous detection of multiple enteric pathogens including Entamoeba histolytica in stool samples. Our report demonstrates for the first time that these new assays might also serve as a rapid tool to diagnose amoebic liver abscess in patients with cystic focal liver lesions.

2017 New Microbes and New Infections

130. Comparison of Diabetic and Non-diabetic Human Leukocytic Responses to Different Capsule Types of Klebsiella pneumoniae Responsible for Causing Pyogenic Liver Abscess Full Text available with Trip Pro

Comparison of Diabetic and Non-diabetic Human Leukocytic Responses to Different Capsule Types of Klebsiella pneumoniae Responsible for Causing Pyogenic Liver Abscess The major risk factor for Klebsiella liver abscess (KLA) is type 2 diabetes mellitus (DM), but the immunological mechanisms involved in the increased susceptibility are poorly defined. We investigated the responses of neutrophils and peripheral blood mononuclear cells (PBMCs) to hypervirulent Klebsiella pneumoniae (hvKP

2017 Frontiers in cellular and infection microbiology

131. Genomic insights of Pannonibacter phragmitetus strain 31801 isolated from a patient with a liver abscess Full Text available with Trip Pro

Genomic insights of Pannonibacter phragmitetus strain 31801 isolated from a patient with a liver abscess Pannonibacter phragmitetus is a bioremediation reagent for the detoxification of heavy metals and polycyclic aromatic compounds (PAHs) while it rarely infects healthy populations. However, infection by the opportunistic pathogen P. phragmitetus complicates diagnosis and treatments, and poses a serious threat to immunocompromised patients owing to its multidrug resistance. Unfortunately (...) , genome features, antimicrobial resistance, and virulence potentials in P. phragmitetus have not been reported before. A predominant colony (31801) was isolated from a liver abscess patient, indicating that it accounted for the infection. To investigate its infection mechanism(s) in depth, we sequenced this bacterial genome and tested its antimicrobial resistance. Average nucleotide identity (ANI) analysis assigned the bacterium to the species P. phragmitetus (ANI, >95%). Comparative genomics analyses

2017 MicrobiologyOpen

132. Hepatic Radioembolization Complicated by Abscess Full Text available with Trip Pro

Hepatic Radioembolization Complicated by Abscess [This corrects the article DOI: 10.1055/s-0031-1280669.].

2017 Seminars in interventional radiology

133. Invasive Liver Abscess Syndrome Caused by Klebsiella pneumoniae Full Text available with Trip Pro

Invasive Liver Abscess Syndrome Caused by Klebsiella pneumoniae 28943583 2018 11 13 1349-7235 56 22 2017 Nov 15 Internal medicine (Tokyo, Japan) Intern. Med. Invasive Liver Abscess Syndrome Caused by Klebsiella pneumoniae. 3121-3122 10.2169/internalmedicine.9014-17 Setsu Toru T Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Science, Niigata University, Japan. Tsuchiya Atsunori A Division of Gastroenterology and Hepatology, Graduate School of Medical (...) and Dental Science, Niigata University, Japan. Yamagiwa Satoshi S Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Science, Niigata University, Japan. Terai Shuji S Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Science, Niigata University, Japan. eng Journal Article 2017 09 25 Japan Intern Med 9204241 0918-2918 Klebsiella pneumoniae PTAD liver abscess meningitis 2017 9 26 6 0 2017 9 26 6 1 2017 9 26 6 0 ppublish 28943583 10.2169

2017 Internal Medicine

134. Klebsiella Pneumoniae Liver Abscess: A Case Series of Six Asian Patients Full Text available with Trip Pro

Klebsiella Pneumoniae Liver Abscess: A Case Series of Six Asian Patients BACKGROUND Liver abscesses represent a serious infection of hepatic parenchyma and are associated with significant morbidity and mortality. The emergence of a new hypervirulent variant of Klebsiella pneumoniae, which can cause serious infections in the Asian population, is under investigation. We report a case series of six Asian patients hospitalized at our institution from January 2013 to November 2015 for liver abscess (...) due to Klebsiella pneumoniae. CASE REPORT Charts of six Asian patients were retrospectively reviewed. Four patients were male and two were female. The mean age was 53 years (range: 35-64 years). All patients had no known past medical history of immunodeficiency. Three patients had multiple liver abscesses at the time of initial presentation. In five patients, the source of entry of the pathogenic microorganism was unknown and in one patient the suspected source of entry was the gastrointestinal

2017 The American journal of case reports

135. Postdischarge Outcomes of Pyogenic Liver Abscesses: Single-Center Experience 2007–2012 Full Text available with Trip Pro

Postdischarge Outcomes of Pyogenic Liver Abscesses: Single-Center Experience 2007–2012 Pyogenic liver abscesses (PLA) are increasingly managed by percutaneous treatment instead of surgery, but there are limited data about postdischarge outcomes. Postdischarge services and factors predicting poor outcomes have not been described.We performed a retrospective, descriptive case series at a single center assessing treatment and outpatient follow-up for patients treated for PLA from 2007 to 2012 (...) was a predictor.Pyogenic liver abscess patients have intense postdischarge needs (drain management, IV antibiotics) and a high rate of ED visits and readmissions. Although PD provides source control without surgery, ambulatory needs are now more complex, requiring multidisciplinary collaboration.

2017 Open forum infectious diseases

136. Salmonella enterica Serovar Enteritidis Liver Abscess after Blunt Abdominal Trauma Full Text available with Trip Pro

Salmonella enterica Serovar Enteritidis Liver Abscess after Blunt Abdominal Trauma Salmonella enterica serovar Enteritidis is among the most reported serotypes of Salmonella species worldwide, but is rarely reported as the causative agent of a liver abscess.We present a patient with an abdominal blunt trauma. An initial abdominal computed tomography scan revealed a rupture of the right kidney and of the liver. Two days later, his physical state deteriorated and a new computed tomography scan (...) was obtained. An extremely large 8-centimetre liver abscess was verified. Due to the unsatisfying response to antibiotic therapy and percutaneous drainage, we operated on the patient. An appendectomy, cholecystectomy and bisegmental liver resection were performed. An intraoperative swab from the abscess was positive for Salmonella enterica serovar Enteritidis. The patient was given intravenous ciprofloxacine. The post-operative course was complicated by a Coagulase-negative Staphylococcus infection

2017 Balkan medical journal

137. Newly Diagnosed Idiopathic Liver Abscess: Colonoscopy Required! Full Text available with Trip Pro

Newly Diagnosed Idiopathic Liver Abscess: Colonoscopy Required! Liver abscess is the most common type of visceral abscess reported in the United States. Biliary tract disease is the most common cause of the development of liver abscess. In the last decade, many cases of liver abscesses silently manifesting as colon cancer have been reported in East Asian countries. We herein describe a case of an immunocompetent man who immigrated from East Africa to Unites States and presented with a suspicion (...) of colon mass with metastasis to the liver, and who was later diagnosed to have a colonic malignancy with a concomitant liver abscess. Our aim was to make clinicians aware of the importance of ruling out occult colonic malignancy in patients with idiopathic liver abscess.

2017 Journal of clinical medicine research

138. A case of liver abscess and fusobacterium septicemia Full Text available with Trip Pro

A case of liver abscess and fusobacterium septicemia Fusobacterium species are well described as the causative pathogen in Lemierre's syndrome, a suppurative thrombophlebitis of the jugular vein. However, they are less recognized for a unique variant of Lemierre's syndrome presenting with invasive intraabdominal infection and associated portal vein thrombosis. We describe a case of Fusobacterium nucleatum with hepatic abscess and septic pylephlebitis.

2017 IDCases

139. Novel complication of an emerging disease: Invasive Klebsiella pneumoniae liver abscess syndrome as a cause of acute respiratory distress syndrome Full Text available with Trip Pro

Novel complication of an emerging disease: Invasive Klebsiella pneumoniae liver abscess syndrome as a cause of acute respiratory distress syndrome Klebsiella pneumoniae is an increasingly recognized cause of a unique invasive syndrome manifesting as pyogenic liver abscess and hematogenous extrahepatic dissemination to a variety of sites, including the lung. Originally described only in Asia, this entity has now been reported across continents and ethnicities. Intrathoracic complications (...) of invasive Klebsiella pneumoniae liver abscess syndrome (IKPLAS) have been characterized sporadically but have not been the subject of an all-encompassing investigation. Review of the English-language literature yields no reports of the acute respiratory distress syndrome as a consequence of IKPLAS. Herein we report what, to our knowledge, is the first such description.

2017 Clinics and practice

140. Recent upper gastrointestinal panendoscopy increases the risk of pyogenic liver abscess Full Text available with Trip Pro

Recent upper gastrointestinal panendoscopy increases the risk of pyogenic liver abscess To investigate the association between a recent gastrointestinal (GI) endoscopy and the subsequent risk of pyogenic liver abscess (PLA).We designed a nested case control study. Using the Taiwan National Health Insurance Research Database, 2135 patients with a first diagnosis of PLA were identified from 1998 to 2011. Another 10675 patients without PLA matched by age and sex were selected as reference controls (...) . We identified and compared the possible risk factors for PLA and GI endoscopies performed before the index date (when PLA was diagnosed) between the two cohorts. Multivariate analysis was conducted to examine the risk of PLA within the 90 d after the GI endoscopies.Patients with a history of diabetes [adjusted odds ratio (aOR) = 4.92, 95%CI: 1.78-13.61], end-stage renal disease (aOR = 3.98, 95%CI: 1.45-10.91), biliary tract infection (aOR = 2.68, 95%CI: 2.11-3.40), liver cirrhosis (aOR = 2.19, 95

2017 World Journal of Gastroenterology

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