Case reportThrombophlebitis of the hepatic veins: complication of a Klebsiella liver abscess
Section snippets
Case 1
A 42-year-old man, without any significant medical history or immunodeficiency, presented with fever, dyspnea and pain in the area of the right upper quadrant of the abdomen. The biological data indicated the presence of an inflammatory syndrome. A radiograph of the chest demonstrated scattered opacities of the infectious type involving two pulmonary areas, without pleural effusion. Ultrasonography (US) of the liver revealed a partially necrotic formation, with a thick wall, surrounded by
Discussion
Pyogenic abscesses of the liver are rather infrequent, with an annual incidence of 2.3 cases per 100,000 [1]. These develop often in immunodeficient or diabetic patients; a pathological process involving the biliary system is also a favoring factor. The clinical and biological findings and their radiological images are well known [2] and lead to an early diagnosis and treatment.
There are several bacteria that cause pyogenic abscess: aerobic enterobacteria (Escherichia coli, Klebsiella pneumoniae
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Radiographics
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Cited by (16)
Clinical and CT comparative study of invasive and non-invasive Klebsiella pneumoniae liver abscesses
2023, Clinical RadiologyCitation Excerpt :In this case, the infection can spread to multiple tissues and organs throughout the body via the blood, forming a disseminated abscess. Maffiolo et al.20 reported two cases of hepatic vein thrombophlebitis caused by KPLA, and raised the question of whether the thrombosis did not facilitate the diffuse and severe pulmonary dissemination. The present study found that the incidence of invasive hepatic vein thrombophlebitis was significantly higher than that in N-IKPLA (53.85% and 4%, respectively).
Analysis of clinical and CT characteristics of patients with Klebsiella pneumoniae liver abscesses: An insight into risk factors of metastatic infection
2015, International Journal of Infectious DiseasesCitation Excerpt :The main reason for the difference could be that our study only included patients with KPLA who underwent contrast enhanced CT and drainage. Thrombophlebitis of the hepatic veins is a common complication of KPLA.18,19 We observed that abscess was present closer to the veins, which had thrombophlebitis.
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