Hepatic Abscess Caused By Salmonella-A Case Report.

Salmonella typhi is a rare cause of liver abscess. Numerous extra-intestinal complications can occur with S.typhi infection, including the involvement of the cardiovascular system, pulmonary system, bone and joints, hepatobiliary system, genitourinary system etc. We describe a 65-year-old diabetic male with liver abscesses due to S. typhi. Ultrasonography revealed the rounded 8x4 cm lesion in the right lobe of liver with low echogenicity. Gram stain, abscess culture (with sensitivity testing) and blood culture provide valuable information to guide successful therapy. The patient did not respond appropriately to amebicidal therapy and culture of the liver aspirate yielded S. typhi. Percutaneous aspiration combined with appropriate antibiotic therapy resulted in a complete recovery. In the present case, we did not have definite evidence such as positive stool culture; however, we thought that gastrointestinal focus would be most likely.

Solitary staphylococcal liver abcess in a neonate.

28 days old neonate presented with high fever, abdominal distension, poor feeding and lethargy. Sepsis screen was positive; ultrasound and computed tomography of the abdomen demonstrated a multiloculated hepatic abcess in the right lobe of the liver. The baby was treated with intravenous antibiotics for 6 weeks and percutaneous aspiration of the abcess, resulting in excellent recovery.

Shock séptico por Pseudomonas aeruginosa adquirido en la comunidad asociado a neutropenia, en un paciente previamente sano

Resumen La sepsis por Pseudomonas aeruginosa adquirida en la comunidad en niños previamente sanos es una entidad excepcional. Se presenta el caso clínico de una niña previamente sana que presentó un shock séptico refractario, asociado a neutropenia, ectima gangrenoso, enterocolitis necrotizante y abscesos hepáticos causado por Pseudomonas aeruginosa. La incorporación de antibióticos con acción anti-Pseudomonas en el régimen empírico inicial de la sepsis adquirida en la comunidad, cuando se sospeche esta etiología, puede mejorar el pronóstico de estos pacientes.

Summary Community-acquired sepsis by Pseudomonas aeruginosa in previously healthy children is exceptional. A clinical case of a previously healthy child with refractary septic shock associated with neutropenia, ecthyma gangrenosum, necrotizing colitis and hepatic abscess due to Pseudomonas aeruginosa is presented. The fast application of an anti Pseudomona treatment with empiric antibiotics may improve the prognosis of these patients.