[Sometimes a liver can cause you headaches].
Słowa kluczowe
Abstrakcyjny
METHODS
We report on a 41-year-old patient who was taken over from an outside hospital with headache, fever, polydipsy and profound sweating.
METHODS
Blood cultures revealed an infection due to Klebsiella pneumonia. CT exhibited a large liver abscess in segments VI and VII (7,6 x 7,2 x 9,9 cm).
METHODS
We started an empiric antibiotic treatment with meropenem, linezolid and fluconazole. After susceptibility testing the antibiotic treatment was adapted to ciprofloxacin and continued for 4 weeks. Furthermore, we placed a CT-guided drainage of the abscess. In follow-up visits, his lab values normalized and the size of the abscess decreased.
CONCLUSIONS
A pyogenic liver abscess is a rare but severe inflammatory disease. The etiology is often unclear. Depending on localisation a conservative, a surgical or a treatment with a targeted drainage is necessary. However, an isolation of the pathogen for antibiotic testing should be achieved and long term antibiotic treatment should be performed.
