A case of liver abscess with meningitis and endophthalmitis: invasive liver abscess syndrome
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- MIZUTA Kazuya
- Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital
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- KOGA Futa
- Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan
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- KAWAZOE Yuka
- Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan
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- MURAYAMA Kenichiro
- Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan
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- NAKASHITA Shunya
- Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan
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- OZA Noriko
- Department of Hepatobiliary and Pancreatology, Saga Medical Center Koseikan
Bibliographic Information
- Other Title
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- 髄膜炎および眼内炎を合併した侵襲性肝膿瘍症候群の1例
Abstract
<p>A woman in her 70s was hospitalized and was diagnosed with liver abscess and managed with antibiotics in a previous hospital. However, she experienced altered consciousness and neck stiffness during treatment. She was then referred to our hospital. On investigation, we found that she had meningitis and right endophthalmitis concurrent with a liver abscess. Klebsiella pneumoniae was detected from both cultures of the liver abscess and effusion from the cornea. A string test showed a positive result. Therefore, she was diagnosed with invasive liver abscess syndrome. Although she recovered from the liver abscess and meningitis through empiric antibiotic treatment, her right eye required ophthalmectomy. In cases where a liver abscess presents with extrahepatic complications, such as meningitis and endophthalmitis, the possibility of invasive liver abscess syndrome should be considered, which is caused by a hypervirulent K. pneumoniae.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 121 (3), 237-244, 2024-03-10
The Japanese Society of Gastroenterology