Manisha Rajaure Third year ME Mtrainee, Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Pintu kumar Gupta Third year ME Mtrainee, Emergency Medicine, Max Super Specilaty Hospital, Shalimar Bagh 110088, Delhi, India
Priya Govil Senior Consultant, Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Kishalay Datta Director and H.O.D, Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Address for correspondence: Pintu kumar Gupta, Third year ME Mtrainee, Emergency Medicine, Max Super Specilaty Hospital, Shalimar Bagh 110088, Delhi, India E-mail: drpintugupta85@gmail.com
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Rajaure M, Gupta PK, Govil P, et al. A case of pyogenic liver abscess in a 16 year old previously healthy boy. Ind J Emerg Med. 2024;10(2):75-7.
Timeline
Received : January 02, 2024
Accepted : May 21, 2024
Published : June 04, 2024
Abstract
An 16 year-old, previously healthy boy reported in the ER with chief complaints of abdominal pain, high-grade fevers, nausea and emesis. Multiple hepatic abscesses were found with the help of ultrasound. Aspiration cultures grew Fusobacterium Necrophorum, a rare bacterium causing potentially fatal liver abscesses in humans. Broad spectrum antibiotics were immediately started but his symptoms worsened. Latter on percutaneous drainage of multiple abscesses was performed and purulent fluid >150 ml was drained after which patient showed significant improvement. After percutaneous drainages and narrowing of antibiotics, the patient showed no signs of infection and was discharged on a 6-week antibiotic course. Because oropharyngeal infections are a potential source of bacteraemia, they must be considered in the differential diagnosis of patients presenting with hepatic abscesses and no evidence of immunocompromise.
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Author Contributions
all authors contributed significantly to the work and approve its publication.
Acknowledgements
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Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Rajaure M, Gupta PK, Govil P, et al. A case of pyogenic liver abscess in a 16 year old previously healthy boy. Ind J Emerg Med. 2024;10(2):75-7.
This license enables reusers to distribute, remix, adapt,
and build upon the material in any medium or format for noncommercial purposes
only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt,
and build upon the material in any medium or format for noncommercial purposes
only, and only so long as attribution is given to the creator.