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Pyogenic liver abscess caused by Gemella morbillorum
Paolo Borro1, Alessandro Sumberaz1, Gianni Testino1
1IRCCS Azienda Ospedaliera Universitaria San Martino-IST, Genova, Italy.
Colombia Medica (Cali, Colombia)
|August 8, 2014
Summary
Gemella morbillorum infection (GMI) can cause rare liver abscesses in immunocompetent individuals. This case highlights successful treatment with antibiotics and aspiration for a hepatic abscess caused by GMI.
Area of Science:
- Microbiology
- Infectious Diseases
- Hepatology
Background:
- Gemella morbillorum infection (GMI) is a rare bacterial infection.
- While GMI can lead to severe conditions like endocarditis and meningitis, hepatic abscess is an infrequent manifestation.
- This report focuses on a case of liver abscess in an immunocompetent, non-cirrhotic patient.
Observation:
- A 64-year-old male presented with fever and abdominal pain.
- Imaging revealed colonic diverticula and two focal lesions in the right liver lobe.
- One lesion was cystic; the other was hypoechoic with a low-density area suggestive of necrosis.
Findings:
- US-guided biopsy showed purulent infiltrate, and pus culture confirmed Gemella morbillorum infection.
- The patient was treated with systemic antibiotics and repeated US-guided needle aspiration.
- Treatment led to the resolution of the hepatic abscess.
Implications:
- This case underscores the importance of considering GMI in the differential diagnosis of liver abscesses, even in immunocompetent individuals.
- Early diagnosis and appropriate management, including antibiotics and drainage, are crucial for favorable outcomes.
- Further research into the pathogenesis and optimal treatment strategies for GMI-induced hepatic abscesses is warranted.
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