A CASE OF LIVER ABSCESS WITH SECONDARY BRAIN AND LUNG ABSCESSES IN A HEALTHY MAN

概要

論文の詳細を見る
A rare case of liver abscess with metastatic legions in the brain and lungs is reported. A 51-year-old Japanese man with a 3-day history of high fever over 39°C and diarrhea was admitted to the hospital and was given antibiotics under suspicion of acute enteritis. No symptomatic remission was attained. Chest and abdominal CT scans revealed a solitary liver abscess, and multiple abscesses in the lungs on the 5th hospital day. An open drainage of the liver abscess was performed, while lung ones were treated conservatively. The patient was getting better and his data on inflammation became improved, however, he began to walk with tottery steps. A brain CT scan on the 18th day after surgery showed an abscess at the right cerebellum. An emergency drainage performed by neurosurgeons resulted in symptomatic remission. Prevotella was cultured from purulent discharge of the liver abscess. It is etiologically supposed that enteritis had made the liver abscess through the portal vein, and the bacteria in the liver abscess spreaded to the lungs and brain.
日本臨床外科学会の論文