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Posterior Approach for Debridement of the Psoas Abscess
Published on: March 2, 2020
Pantoea agglomerans liver abscess presenting with a painful thigh
Duncan G Fullerton1, Aye A Lwin, Simon Lal
1Department of aRespiratory Medicine, Royal Bolton Hospital, Bolton, UK. duncan.fullerton@nhs.net
Abstract:
This case highlights that an acute myositis leading to rhabdomyolysis may occur as a rare complication of hepatic abscess and shows the benefit of early recognition of this possible association. A 70-year-old man presented with fever and lower limb myalgia, with laboratory evidence of acute renal failure secondary to rhabdomyolysis. Blood cultures revealed Pantoea agglomerans, which led to identification of a hepatic abscess on computed tomography scan. Supportive care together with antibiotics led to normalization of renal function and resolution of the abscess. This appears to be the first report of a patient with a liver abscess presenting with myositis and rhabdomyolysis. Early recognition of this possible association is vital to limit morbidity and mortality.
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