Abstract
Abstract
Background
We report an unusual case of infective colitis by Yersinia enterocolitica complicated by microliver abscesses mimicking multiple liver metastases in a 79 yr old female without any risk factors for bacteriaemia by this pathogen.
Case presentation
The patient was admitted to the Internal Medicine with Stroke Care ward of University Policlinico “P. Giaccone” in Palermo because of the appearance of diarrhoea. After the antimicrobial treatment for infective colitis, the clinicians observed a persistently increased white blood cells (WBC) count and multiple hepatic lesions; after having excluded any neoplastic disease and inflammatory bowel disease (IBD), blood cultures positive for Y. enterocolitica allowed to establish the final diagnosis was infective micro liver abscesses consequent to infective colitis due to Y. enterocolitica, which were successfully treated with cefixime and doxycycline.
Conclusions
This case report should make clinicians reflect on how complex the differential diagnosis between microliver abscesses and metastasis could be and the possibility of bacteriaemia by Y. enterocolitica even without iron overload conditions.
Publisher
Springer Science and Business Media LLC
Reference9 articles.
1. Murarka S, Pranav F, Dandavate V. Pyogenic liver abscess secondary to disseminated Streptococcus anginosus from sigmoid diverticulitis. J Glob Infect Dis. 2011;3(1):79–81. https://doi.org/10.4103/0974-777X.77300.
2. Plemmons RM, Dooley DP, Longfield RN. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis. 1995;21(5):1114–20. https://doi.org/10.1093/clinids/21.5.1114.
3. Gajdács M, Urbán E. Relevance of anaerobic bacteremia in adult patients: a never-ending story? [published online ahead of print, 2020 Jun 5]. Eur J Microbiol Immunol (Bp). 2020;10(2):64–75. https://doi.org/10.1556/1886.2020.00009.
4. Carpenter, Christopher F, and Nick Gilpin. "Hepatic Abscess." Johns Hopkins ABX Guide, The Johns Hopkins University, 2017. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_ABX_Guide/540259/all/Hepatic_Abscess.
5. Tsubokura M. Yersinioses other than plague. In: Balows A, Hausler Jr WJ, Ohashi M, Turano A, editors. Laboratory Diagnosis of Infectious Diseases. New York City: Springer-Verlag; 1989. p. 540.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献