A case of pyogenic liver abscesses in a previously healthy adolescent man

Authors

Dena A. Mentel, Yale University, New Haven, CT, USA dmentel20@gmail.com.
Danielle B. Cameron, Department of Surgery, Yale University, New Haven, CT, USA.
Shea C. Gregg, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Walter Cholewczynski, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Alisa Savetamal, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Roselle E. Crombie, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Paul P. Possenti, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Bridgeport, CT, USA.Follow
Nabil A. Atweh, Department of Surgery, Section of Trauma, Burns and Surgical Critical Care, Bridgeport Hospital, Bridgeport, CT, USA.Follow

Document Type

Article

Publication Title

Journal of surgical case reports

Abstract

An 18-year-old, previously healthy man admitted with abdominal pain, high-grade fevers, nausea and emesis was found to have multiple hepatic abscesses. Aspiration cultures grew Fusobacterium necrophorum, a rare bacterium causing potentially fatal liver abscesses in humans. Following sequential percutaneous drainages and narrowing of antibiotics, the patient was discharged on a 6-week antibiotic course and showed no signs of infection. A week after presentation it was discovered that he had experienced upper respiratory symptoms and sore throat prior to presentation. Because oropharyngeal infections are a potential source of bacteremia, they must be considered in the differential diagnosis of patients presenting with hepatic abscesses and no evidence of immunocompromise.

DOI

10.1093/jscr/rju118

Publication Date

11-10-2014

Recommended Citation

Mentel, Dena A.; Cameron, Danielle B.; Gregg, Shea C.; Cholewczynski, Walter; Savetamal, Alisa; Crombie, Roselle E.; Possenti, Paul P.; and Atweh, Nabil A., "A case of pyogenic liver abscesses in a previously healthy adolescent man" (2014). Surgery. 13.
https://scholar.bridgeporthospital.org/surgery/13