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Case Report

A Case of Pyogenic Liver Abscess in a 16 year Old Previously Healthy Boy

Manisha Rajaure, Pintu kumar Gupta, Priya Govil, Kishalay Datta

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Indian Journal of Emergency Medicine 10(2):p 75-77, Aril-June 2024. | DOI: https://doi.org/10.21088/ijem.2395.311X.10224.6

How 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.

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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There are no additional data available.

Funding

This research received no funding.

Author Contributions

all authors contributed significantly to the work and approve its publication.

Acknowledgements

Information not provided.

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.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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.


Received Accepted Published
January 02, 2024 May 21, 2024 June 04, 2024

DOI: https://doi.org/10.21088/ijem.2395.311X.10224.6

Keywords

Liver abscessFusobacterium necrohorumPercutaneous Drainage

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Received January 02, 2024
Accepted May 21, 2024
Published June 04, 2024

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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.


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