Vol 45: Pyogenic liver abscess caused by Gemella morbillorum.Report as inadecuate



 Vol 45: Pyogenic liver abscess caused by Gemella morbillorum.


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This article is from Colombia Médica : CM, volume 45.AbstractEven though Gemella morbillorum infection GMI is rare in humans, it may nevertheless, cause endocarditis, meningitis, brain abscess, pleural empyema, nephritis, mediastinitis, and occasionally, liver abscess. We are describing the case of a 64-years-old Caucasian male admitted with fever and abdominal pain. Laboratory parameters revealed inflammation signs, and instrumental examinations showed the presence of diverticula in the ascending colon. Abdominal ultrasound US and computer tomography CT showed two focal lesions in the right liver lobe. One had the characteristics of a simple cyst; the second was hypoechoic with a low density area, possibly containing necrotic material. US-guided needle biopsy was found negative for neoplastic cells, showing purulent infiltrate. Pus culture was found positive for GMI. Systemic antibiotic therapy coupled with repeated US-guided needle aspiration, induced the resolution of the hepatic abscess. Few cases have been reported of hepatic abscess caused by GMI in immunocompetent non-cirrhotic subjects.



Author: Borro, Paolo; Sumberaz, Alessandro; Testino, Gianni

Source: https://archive.org/







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