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[A case of Salmonella liver abscess].

Jeong Woo Choi1, Sung Jun Choi, Hyeock Choon Kwon

  • 1Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.

The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|April 25, 2006
PubMed
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Salmonella species rarely cause liver abscesses, but this case report details a successful treatment. A Salmonella non-typhi infection in the liver improved with antibiotic therapy and percutaneous drainage.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Microbiology

Background:

  • Pyogenic liver abscesses are common in developed countries, typically caused by Escherichia coli and Klebsiella pneumoniae.
  • While amebic abscesses are more frequent globally, bacterial pathogens dominate hepatic abscess cases in industrialized nations.
  • Salmonella species are uncommon causes of liver abscesses, with few reported instances in medical literature.

Observation:

  • A 52-year-old male with a history of liver cirrhosis and diabetes presented with fever, chills, and epigastric pain.
  • The patient was diagnosed with a liver abscess, and Salmonella group D, non-typhi was isolated from both blood and abscess pus.
  • Symptoms of fever and abdominal pain were prominent for two weeks prior to diagnosis.

Findings:

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  • The liver abscess showed improvement in size following percutaneous drainage and targeted antibiotic treatment.
  • Blood and pus cultures confirmed Salmonella non-typhi as the causative agent for the pyogenic liver abscess.
  • The patient's clinical condition, including fever and epigastric pain, resolved with the implemented treatment strategy.

    • Implications:

    • This case highlights the importance of considering Salmonella species in the differential diagnosis of pyogenic liver abscesses, even when rare.
    • Effective management involves a combination of percutaneous drainage and appropriate antibiotic therapy tailored to the identified pathogen.
    • Further research may elucidate the specific factors contributing to Salmonella-induced liver abscesses in patients with underlying conditions like cirrhosis and diabetes.