Accession Number	<strong>00042737-200108000-00016</strong>.
Author	Ala, Aftab; Safar-Aly, Hesham; Millar, Andrew
Institution	Departments of Gastroenterology and Radiology, North Middlesex Hospital, London, UK
Title	Metallic cough and pyogenic liver abscess.[Report]
Source	European Journal of Gastroenterology & Hepatology. 13(8):967-969, August 2001.
Abstract	The curious symptom of a metallic cough in association with a pyogenic hepatic abscess should heighten awareness of a fistula. We describe a 78-year-old female with severe diverticular disease, on long-term steroid treatment for polymyalgia rheumatica. She developed a pyogenic liver abscess, treated initially by antimicrobial therapy, and subsequently drained by ultrasound and computed tomography-guided percutaneous transhepatic pigtail catheterization. This was complicated by a fistulous communication between the abscess cavity and the bronchus, confirmed by radiology. After repeated attempts at drainage and antimicrobial therapy the abscess cavity, including the hepatobronchial fistula, resolved. (C) 2001 Lippincott Williams & Wilkins, Inc.