Resection of a methicillin-resistant Staphylococcus aureus liver abscess in a patient with Crohn’s disease under infliximab treatment: a case reportReportar como inadecuado




Resection of a methicillin-resistant Staphylococcus aureus liver abscess in a patient with Crohn’s disease under infliximab treatment: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Medical Case Reports

, 7:36

First Online: 01 February 2013Received: 15 October 2012Accepted: 19 December 2012DOI: 10.1186-1752-1947-7-36

Cite this article as: Togashi, J., Sugawara, Y., Akamatsu, N. et al. J Med Case Reports 2013 7: 36. doi:10.1186-1752-1947-7-36

Abstract

IntroductionA liver abscess in Crohn’s disease is a rare but important entity that is associated with a poor prognosis and high mortality when treatment is delayed. We report a case of successful liver segmentectomy for a methicillin-resistant Staphylococcus aureus liver abscess in a patient with Crohn’s disease under infliximab treatment.

Case presentationA 31-year-old Japanese man, who had been treated with infliximab infusions for Crohn’s disease, was referred to our hospital presenting with an abrupt onset of high fever and an elevated white blood cell count and serum C-reactive protein level. Computed tomography revealed a liver abscess occupying segment 8. The limited effect of percutaneous transhepatic abscess drainage and antibiotics led us to perform radical resection of the abscess. The patient recovered quickly after surgery and the postoperative course was uneventful.

ConclusionThe present case suggests that surgical removal of an abscess should be considered for patients under immunosuppression or refractory to conventional treatment.

AbbreviationsFrFrench scale

MRSAMethicillin-resistant Staphylococcus aureus

PLAPyogenic liver abscess

PTADPercutaneous transhepatic abscess drainage.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-7-36 contains supplementary material, which is available to authorized users.

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Autor: Junichi Togashi - Yasuhiko Sugawara - Nobuhisa Akamatsu - Taku Aoki - Masayoshi Ijichi - Mami Tanabe - Koji Kusaka - Masayu

Fuente: https://link.springer.com/



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