Year 2023 / Volume 115 / Number 2
Digestive Diseases Image
Liver abscess due to parvimonas micra

89-90

DOI: 10.17235/reed.2022.8751/2022

Cynthia Ramírez Castro, Mikel Fiallegas Cano, Pelayo Rodríguez López, José Luis Cabriada Nuño,

Abstract
Liver abscesses are an entity that sets out a diagnostic challenge with a severe clinical course and non-negligible mortality. Their origin is usually bacterial (>80%), parasitic, mixed or, more rarely, fungal. We present the case report of a 45-year-old man, native of Ghana, with no relevant medical-surgical history, was admitted for septic shock with multiple organ dysfuntion syndrome. Complementary imaging tests revealed a liver abscess in segments IV and VII measuring 60x45x54 mm, so antibiotic treatment with piperacillin-tazobactam was started and a pigtail drainage was placed. In blood cultures, the microorganism parvimonas micra (anaerobic gram-positive cocci) was isolated with high degree of sensitivity rates to penicillin, clindamycin and metronidazole. Treatment was de-escalated to clindamycin until completing 4 weeks of intravenous treatment. Control CT showed a decrease in the size of the abscess and pigtail drainage was removed.
Share Button
New comment
Comments
No comments for this article
References
1. Lardière-Deguelte S, Ragot E, Amroun K, Piardi T, Dokmak S, Bruno O, Appere F, Sibert A, Hoeffel C, Sommacale D, Kianmanesh R. Hepatic abscess: Diagnosis and management. J Visc Surg. 2015 Sep; 152(4):231-43. DOI: 10.1016/j.jviscsurg.2015.01.013
2. Roediger R, Lisker-Melman M. Pyogenic and Amebic Infections of the Liver. Gastroenterol Clin North Am. 2020 Jun;49(2):361-377. DOI: 10.1016/j.gtc.2020.01.013
3. Chaucer B, Smith N, Beatty D, Yadav M. Multiple Hepatic Abscess from Parvimonas micra: An Emerging Gastrointestinal Microbe. ACG Case Rep J. 2018 Sep 26;5:e70. doi: 10.14309/crj.2018.70
Related articles

Letter

Clip migration after cholecystectomy

DOI: 10.17235/reed.2021.8156/2021

Letter

A giant liver abscess due to Fasciola hepatica infection

DOI: 10.17235/reed.2019.6136/2018

Letter to the Editor

Complicated peribiliary cysts in patient without any prior liver disease

DOI: 10.17235/reed.2017.5350/2017

Letter to the Editor

Liver abscess by Eikenella Corrodens

DOI: 10.17235/reed.2015.3613/2014

Citation tools
Ramírez Castro C, Fiallegas Cano M, Rodríguez López P, Cabriada Nuño J. Liver abscess due to parvimonas micra. 8751/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1442 visits.
This article has been downloaded 151 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 24/02/2022

Accepted: 11/03/2022

Online First: 22/03/2022

Published: 07/02/2023

Article Online First time: 26 days

Article editing time: 348 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology