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Liver abscess caused by Arcanobacterium haemolyticum
Julia Lobo1, César Gallo2, Patricia Mejuto3
1Medicina Interna, Hospital Valle del Nalón.
Revista Espanola De Enfermedades Digestivas
|October 15, 2020
Summary
A 90-year-old female presented with right abdominal pain and fever. Imaging revealed a liver abscess in segment 3, successfully treated with antibiotics.
Area of Science:
- Hepatology
- Infectious Diseases
- Radiology
Background:
- Liver abscesses are uncommon, particularly in the elderly.
- Prompt diagnosis and treatment are crucial for favorable outcomes.
Observation:
- A 90-year-old female presented with acute right abdominal pain, fever, and abnormal liver function tests.
- Abdominal ultrasound revealed a complex collection in hepatic segment 3.
- Computed tomography (CT) confirmed a liver abscess with a high-density linear image.
Findings:
- The liver abscess was successfully treated with meropenem and metronidazole.
- Blood cultures were negative, suggesting a non-bacterial or contained source.
Implications:
- This case highlights the importance of advanced imaging in diagnosing liver abscesses in elderly patients.
- Early antibiotic intervention is key to managing hepatic abscesses and preventing complications.
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