Pyogenic liver abscess in a diabetic patient with fever of unknown origin
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POSTER PRESENTATION Open Access Pyogenic liver abscess in a diabetic patient with fever of unknown origin Adina Ilie * , Ramona Popescu, Elisabeta Stoica From The 9th Edition of the Scientific Days of the National Institute for Infectious Diseases Prof Dr Matei Bals Bucharest, Romania. 23-25 October 2013 Background We present the management of febrile syndrome in a diabetic patient. Case report The patient was admitted to our ward from a county hospital to establish the diagnosis of a 25-day fever and cough. The following diagnoses had been excluded: HIV, endocarditis, pneumonia, urinary tract infection and the infection appeared not to respond to ampicillin- sulbactam or levofloxacin. However, an abdominal ultrasound had not been performed. From the medical history we noted that the patient had poorly managed diabetes mellitus type 2 and hyper- tension with mild cardiac disease. We performed an abdominal ultrasound and identified a large liver abscess, confirmed by contrast enhanced CT scanning. The patient was treated with antibiotics and after 14 days the abscess was drained under CT guidance. The etiology was established to be E coli. At the present the patient is doing very well – he is still under antibiotic treatment with drain tube and ultrasound monitoring. Conclusion The diagnosis in a patient with fever of unknown origin and cough turned out to be pyogenic liver abscess with good evolution under antibiotic treatment and CT guided drainage. Published: 16 December 2013 doi:10.1186/1471-2334-13-S1-P97 Cite this article as: Ilie et al.: Pyogenic liver abscess in a diabetic patient with fever of unknown origin. BMC Infectious Diseases 2013 13(Suppl 1):P97. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color figure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit * Correspondence: [email protected] National Institute for Infectious Diseases “Prof. Dr. Matei Balş”, Bucharest, Romania Ilie et al. BMC Infectious Diseases 2013, 13(Suppl 1):P97 http://www.biomedcentral.com/1471-2334/13/S1/P97 © 2013 Ilie et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transcript of Pyogenic liver abscess in a diabetic patient with fever of unknown origin
POSTER PRESENTATION Open Access
Pyogenic liver abscess in a diabetic patient withfever of unknown originAdina Ilie*, Ramona Popescu, Elisabeta Stoica
From The 9th Edition of the Scientific Days of the National Institute for Infectious Diseases Prof Dr MateiBalsBucharest, Romania. 23-25 October 2013
BackgroundWe present the management of febrile syndrome in adiabetic patient.
Case reportThe patient was admitted to our ward from a countyhospital to establish the diagnosis of a 25-day fever andcough. The following diagnoses had been excluded: HIV,endocarditis, pneumonia, urinary tract infection and theinfection appeared not to respond to ampicillin- sulbactamor levofloxacin. However, an abdominal ultrasound hadnot been performed.From the medical history we noted that the patient
had poorly managed diabetes mellitus type 2 and hyper-tension with mild cardiac disease.We performed an abdominal ultrasound and identified
a large liver abscess, confirmed by contrast enhancedCT scanning.The patient was treated with antibiotics and after
14 days the abscess was drained under CT guidance.The etiology was established to be E coli.At the present the patient is doing very well – he is
still under antibiotic treatment with drain tube andultrasound monitoring.
ConclusionThe diagnosis in a patient with fever of unknown originand cough turned out to be pyogenic liver abscess withgood evolution under antibiotic treatment and CTguided drainage.
Published: 16 December 2013
doi:10.1186/1471-2334-13-S1-P97Cite this article as: Ilie et al.: Pyogenic liver abscess in a diabetic patientwith fever of unknown origin. BMC Infectious Diseases 201313(Suppl 1):P97.
Submit your next manuscript to BioMed Centraland take full advantage of:
• Convenient online submission
• Thorough peer review
• No space constraints or color figure charges
• Immediate publication on acceptance
• Inclusion in PubMed, CAS, Scopus and Google Scholar
• Research which is freely available for redistribution
Submit your manuscript at www.biomedcentral.com/submit
* Correspondence: [email protected] Institute for Infectious Diseases “Prof. Dr. Matei Balş”, Bucharest,Romania
Ilie et al. BMC Infectious Diseases 2013, 13(Suppl 1):P97http://www.biomedcentral.com/1471-2334/13/S1/P97
© 2013 Ilie et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.
