Year 2020 / Volume 112 / Number 12
Letter
Liver abscess caused by Arcanobacterium haemolyticum

954-955

DOI: 10.17235/reed.2020.7029/2020

Julia Lobo, César Gallo, Patricia Mejuto,

Abstract
We report the case of a 90-year-old female who was admitted to our hospital due to a three-day history of right abdominal pain and fever of 39 °C (102 °F). The patient’s blood pressure was low, with good blood perfusion and no jaundice, and her abdomen was soft and tender in the right hypochondriac and lateral region, with no guarding. Laboratory tests showed: blood glucose level of 201 mg/dl, 362 U/l AST, 237 U/l ALT, 2.5 mg/dl bilirubin, 237 U/l alkaline phosphatase and leukocytosis associated with a left shift. An abdominal ultrasound scan showed a collection of echogenic material and a shadow suggestive of air in hepatic segment 3. Meropenem and metronidazole treatment was started after taking blood cultures, which were negative. A computed tomography (CT) scan confirmed the presence of a liver abscess in segment 3, containing a high-density linear image.
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References
1.-Cardoso C, Freire R, Mangualde J et al. Hepatic abscess caused by an ingested chicken bone. Rev Esp Enferm Dig 2013; 105: 44-5 DOI: 10.4321/S1130-01082013000100007
2.-Pérez-Saborido B, Bailón-Cuadrado M, Velasco-López R. A liver abscess secondary to a toothpick: a rare complication of accidental foreign body ingestion. Rev Esp Enferm Dig 2019:111(2):167-168
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Lobo J, Gallo C, Mejuto P. Liver abscess caused by Arcanobacterium haemolyticum. 7029/2020


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Publication history

Received: 04/03/2020

Accepted: 15/03/2020

Online First: 15/10/2020

Published: 09/12/2020

Article Online First time: 225 days

Article editing time: 280 days


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