A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess

Abstract Background The aim of this study was to investigate the clinical manifestation and predictive risk factors of pleural empyema developing during treatment of the pyogenic liver abscess. Methods Medical records of patients with the liver abscess in our institution were reviewed retrospectively. Enrolled patients were classified into four groups; Group 1: patients without pleural effusion, Group 2: patients with pleural effusion and who were treated noninvasively, Group 3: patient with pleural effusion and who were treated with thoracentesis, and Group 4: patients with pleural effusion that developed into empyema. Patient characteristics, clinical manifestation, and possible risk factors in development of empyema were analyzed. Results A total of 234 patients was enrolled in this study. The incidence rate of empyema was 4.27% (10 patients). The mean interval for developing pleural effusion was 5.6 ± 6.35 days. In multivariate analysis, risk factors for developing pleural effusion included the location of the liver abscess near the right diaphragm (segment 7 and 8, OR = 2.30, p = 0.048), and larger diameter of the liver abscess (OR = 1.02, p = 0.042). Among patients who developed pleural effusions, presences of mixed microorganisms from culture of liver aspirates (OR = 10.62, p = 0.044), bilateral pleural effusion (OR = 46.72, p = 0.012) and combined biliary tract inflammation (OR = 21.05, p = 0.040) were significantly associated with the need for invasive intervention including surgery on effusion. Conclusion The location of the liver abscess as well as pleural effusion, elevated inflammatory markers, and combined biliary tract inflammation may be important markers of developing pleural complication in patients with pyogenic liver abscess.

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A Rare Case of Pyogenic Liver Abscess Complicated with Cardiac Tamponade

Internal Medicine ◽

10.2169/internalmedicine.47.0854 ◽

2008 ◽

Vol 47 (6) ◽

pp. 563-564 ◽

Cited By ~ 2

Author(s):

Nobuhiro Hara ◽

Mitsuru Kato ◽

Koichi Fuse ◽

Takuya Nagata ◽

Yo Kimura ◽

...

Keyword(s):

Cardiac Tamponade ◽

Liver Abscess ◽

Rare Case ◽

Pyogenic Liver Abscess

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A Rare Case of Recurrent Klebsiella pneumoniae Liver Abscess

Case Reports in Infectious Diseases ◽

10.1155/2021/8896379 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Magdelene Amoateng ◽

Pius Osei-Bagyina ◽

Reba Varughese ◽

Achsah Mathew ◽

Ishan Malhotra

Keyword(s):

Diabetes Mellitus ◽

Risk Factor ◽

Klebsiella Pneumoniae ◽

Liver Abscess ◽

High Mortality ◽

Rare Case ◽

Pyogenic Liver Abscess ◽

Important Risk Factor ◽

Aggressive Treatment

Klebsiella pneumoniae liver abscess (KPLA) is an emerging syndrome with the initial cases described in Taiwan in the 1980s. There is high mortality with this condition, and immediate aggressive treatment is necessary. Diabetes mellitus (D.M.) is the single most important risk factor for developing KPLA. Here, we describe a rare case of recurrent cryptogenic Klebsiella pneumoniae pyogenic liver abscess (KPLA) in a young man with poorly controlled type 1 D.M.

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A RARE CASE REPORT OF PYOGENIC LIVER ABSCESS CAUSED BY SALMONELLA ENTERITIDIS

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2016/418 ◽

2016 ◽

Vol 5 (32) ◽

pp. 1775-1776

Author(s):

Rajeshwari Prabhakar Rao

Keyword(s):

Case Report ◽

Liver Abscess ◽

Rare Case ◽

Salmonella Enteritidis ◽

Pyogenic Liver Abscess ◽

Rare Case Report

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Management of Fish Bone-Induced Liver Abscess with Foreign Body Left In Situ

Case Reports in Hepatology ◽

10.1155/2019/9075198 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Ryan Burkholder ◽

Hrishikesh Samant

Keyword(s):

Foreign Body ◽

Liver Abscess ◽

Rare Case ◽

Hepatic Abscess ◽

Pyogenic Liver Abscess ◽

Fish Bone ◽

Interesting Case ◽

Liver Lobe ◽

Left Liver Lobe

Pyogenic liver abscess, having experienced an evolving pathogenesis over the years, still remains a serious problem with significant morbidity. Iatrogenic and ascending biliary infections are the most common known etiologies for hepatic abscess. Here we report an interesting case of an elderly lady admitted with abdominal pain due to a pyogenic liver abscess in the left liver lobe which was attributed to perforation by an ingested fish bone. The authors also reviewed literature for management for this rare case as there are no standard guidelines. Our patient was successfully treated with antibiotics and percutaneous drainage with foreign body left in situ.

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Pyogenic liver abscess caused by Gemella morbillorum

Colombia Medica ◽

10.25100/cm.v45i2.1288 ◽

2014 ◽

pp. 81-84 ◽

Cited By ~ 4

Author(s):

Paolo Borro ◽

Alessandro Sumberaz ◽

Gianni Testino

Keyword(s):

Liver Abscess ◽

Hepatic Abscess ◽

Pyogenic Liver Abscess ◽

Pleural Empyema ◽

Abdominal Ultrasound ◽

Needle Aspiration ◽

Focal Lesions ◽

Simple Cyst ◽

Systemic Antibiotic Therapy ◽

The Right

Even 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-year-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.

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