ABSTRACT
Pyogenic hepatic abscesses used to be caused by an abdominal infection. Cholangitis due to stones is the commonest cause, followed by diverticulitis or appendicitis. Most patients presenting with pyogenic liver abscesses have a polymicrobial infection usually with Gram negative aerobic and anaerobic organisms. Escherichia coli or Klebsiella pneumoniae are frequently implicated but they do not usually produce gas into the abscesses. We comment a case of a gas-containing liver abscess after an acute pancreatitis without any risk factor associated.
Subject(s)
Escherichia coli Infections/complications , Klebsiella Infections/complications , Liver Abscess, Pyogenic/etiology , Liver Abscess, Pyogenic/physiopathology , Pancreatitis/complications , Acute Disease , Aged , Female , Gases , Humans , Klebsiella pneumoniae , Pancreatitis/microbiologyABSTRACT
Los abscesos hepáticos piógenos suelen tener su origen en una infección abdominal. Las colangitis por cálculos son la causa más frecuente seguida de las diverticulitis o apendicitis. Sus causantes suelen ser aerobios gram negativos o anaerobios de origen abdominal. Los gérmenes del tipo Escherichia coli o Klebsiella pneumoniae se ven frecuentemente implicados; lo que no es tan habitual es que este tipo de microorganismos produzcan gas dentro de las colecciones. Comentamos un caso en el que esto sucede tras un episodio de pancreatitis aguda en una paciente sin factores de riesgo
Pyogenic hepatic abscesses used to be caused by an abdominal infection. Cholangitis due to stones is the commonest cause, followed by diverticulitis or apendicitis. Most patients presenting with pyogenic liver abscesses have a polymicrobial infection usually with Gram negative aerobic and anaerobic organisms. Escherichia coli or Klebsiella pneumoniae are frequently implicated but they do not usually produce gas into the abscesses. We comment a case of a gas-containing liver abscess after an acute pancreatitis without any risk factor associated
