Abstract:
:Pyogenic abscesses of the liver occur in association with a variety of diseases. Sometimes they are caused by anaerobic infections of liver metastases. Uncommonly, however, multiple hepatic abscesses caused by anaerobic bacteria are the presenting signs of unsuspected colonic cancer in the absence of liver metastases. We report a 60-year-old man who presented with febrile cholestatic liver disease initially thought to be metastases. Repeated ultrasound-directed liver biopsies yielded a diagnosis of multiple abscesses. Bacteroides fragilis was grown from the liver specimen and the patient responded well to metronidazole treatment. Two months later, however, overt symptoms of large bowel disease led to the diagnosis of colonic adenocarcinoma. After a 6-month postoperative follow-up, the patient is free of liver metastases. Anaerobic liver abscesses should always alert the clinician to possible silent colonic cancer.
journal_name
J Clin Gastroenteroljournal_title
Journal of clinical gastroenterologyauthors
Lonardo A,Grisendi A,Pulvirenti M,Della Casa G,Melini L,Di Gregorio C,Nasi G,Sarti M,Tamborrino E,Lonardo Fdoi
10.1097/00004836-199206000-00013subject
Has Abstractpub_date
1992-06-01 00:00:00pages
335-8issue
4eissn
0192-0790issn
1539-2031journal_volume
14pub_type
杂志文章abstract::We identified spontaneous reactivation of hepatitis B virus (HBV) retrospectively by utilizing serum alanine aminotransferase and HBV DNA in 19 men (79% homosexual), with an estimated annual incidence of 7.3%. In 11 patients, spontaneous reactivation occurred as a single episode and in eight patients, reactivation was...
journal_title:Journal of clinical gastroenterology
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journal_title:Journal of clinical gastroenterology
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