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[Liver abscess caused by Aeromonas hydrophila]
F B Spencker1, C Greiner, W Tischer
1Klinik für Kindermedizin, Universität Leipzig.
Kinderarztliche Praxis
|April 1, 1991
Summary
A rare childhood liver abscess caused by Aeromonas hydrophila in a pediatric hemodialysis patient was successfully treated with abscess drainage and antibiotics. Environmental sources of Aeromonas hydrophila were not identified.
Area of Science:
- Pediatric Infectious Diseases
- Hepatology
- Nephrology
Background:
- Liver abscesses are uncommon in children.
- Aeromonas hydrophila is a rare cause of pediatric liver abscesses.
- Chronic hemodialysis increases infection risk in pediatric patients.
Observation:
- A 14-year-old girl on chronic hemodialysis developed a liver abscess.
- The abscess was treated with surgical drainage and cefotiam antibiotics.
- Aeromonas hydrophila was identified as the causative agent.
- Environmental cultures from the dialysis center were negative for Aeromonas hydrophila.
Findings:
- This case represents an extremely rare instance of Aeromonas hydrophila causing a liver abscess in a pediatric patient.
- The source of the infection could not be identified in the hemodialysis environment.
- Successful treatment involved abscess drainage and targeted antibiotic therapy.
Implications:
- Clinicians should consider rare pathogens like Aeromonas hydrophila in pediatric liver abscesses, especially in immunocompromised patients.
- Infections in hemodialysis patients require prompt diagnosis and management.
- Further research into Aeromonas spp. as human pathogens is warranted.