Document Detail

Concurrent M. tuberculosis, Klebsiella pneumoniae, and Candida albicans infection in liver metastasis of bowel carcinoma.
MedLine Citation:
PMID:  18299906     Owner:  NLM     Status:  MEDLINE    
We describe the case of a 62-year-old patient with fever and abdominal pain of the right upper quadrant with a known history of adenocarcinoma of the colon and presence of hepatic metastases. One of the liver lesions underwent aspiration, and pus was sent for microbiological testing. Cultures of the pus were positive for Klebsiella pneumoniae and Candida albicans and polymerase chain reaction for Mycobacterium tuberculosis was concurrently positive; the patient received treatment for all three pathogens and improved clinically. One may consider searching not only for the usual pathogens of liver abscesses (gram-negative bacteria, anaerobic bacteria and gram-positive bacteria), but in special cases might consider pursuing a more detailed search for coexistence of fungi and mycobacteria in patients with cancer.
P I Rafailidis; A Kapaskelis; C Christodoulou; E Galani; M E Falagas
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-02-26
Journal Detail:
Title:  European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology     Volume:  27     ISSN:  0934-9723     ISO Abbreviation:  Eur. J. Clin. Microbiol. Infect. Dis.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-30     Completed Date:  2008-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804297     Medline TA:  Eur J Clin Microbiol Infect Dis     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  753-5     Citation Subset:  IM    
Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece.
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MeSH Terms
Candidiasis / complications*
Carcinoma / microbiology*
Inflammatory Bowel Diseases / pathology*
Klebsiella Infections / complications
Klebsiella pneumoniae / isolation & purification*
Liver Neoplasms / secondary*
Middle Aged
Mycobacterium tuberculosis / isolation & purification*
Tuberculosis / complications

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