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Multiple listerial liver abscesses
D Jenkins1, J E Richards, Y Rees
1Leicester General Hospital.
Abstract:
Hepatic involvement in listeriosis is uncommon in adults. Cases previously reported include three presenting as acute hepatitis and three of listerial liver abscesses found at necropsy. We report a case of multiple listerial liver abscesses. We believe this to be the first time this diagnosis has been made in a living patient.
Insights
Hepatic listeriosis is rare in adults. This case report details the first diagnosis of multiple listerial liver abscesses in a living patient, highlighting an uncommon presentation of listeriosis.
Area of Science:
- Hepatology
- Infectious Diseases
- Microbiology
Background:
- Hepatic involvement in listeriosis is infrequently observed in adult populations.
- Previous documented cases include acute hepatitis and post-mortem findings of liver abscesses.
Observation:
- This report details a unique case of multiple liver abscesses caused by Listeria.
Findings:
- The diagnosis of multiple listerial liver abscesses was successfully made in a living patient.
- This represents a novel clinical presentation of hepatic listeriosis.
Implications:
- Clinicians should consider listeriosis in the differential diagnosis of liver abscesses, even in immunocompetent adults.
- Early diagnosis and treatment can improve outcomes for this rare condition.
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