A 73-year-old female was admitted to the ICU for sepsis. She described profound fatigue for 1 month, with chills and flu-like symptoms. At the emergency department, she presented septic shock. The abdominal CT scan showed a 9 × 8.5-cm left liver abscess, with an aeric image and a spontaneously hyperdense foreign body 35 mm inside. The duodenum wall was significantly thickened (Figs. 1, 2). Blood cultures revealed a Streptococcus alpha hemolyticus and Lactobacillus rhamnosus bacteriemia, while percutaneous drainage allowed the evacuation of 500 ml purulent fluid. Microbiologic culture showed colonies of Lactobacillus rhamnosus, Streptococcus intermedius, Streptococcus anginus, Granulicatella adiacens and Actinomyces odontolyticus. Antibiotic therapy was modified from cefotaxime to piperacillin/tazobactam, and the evolution was favorable.
×
×
…
Anzeige
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten