Document Detail

Isolation of Eikenella corrodens from polymicrobial hepatic abscess: report of one case.
MedLine Citation:
PMID:  10910588     Owner:  NLM     Status:  MEDLINE    
Eikenella corrodens is a rare cause of hepatic abscess. We report a case of a hepatic abscess caused by (1) Bacteroides fragilis, (2) Streptococcus constellatus and (3) E. corrodens, which illustrates potential problems of antibiotic coverage due to the presence of Eikenella species. The infection followed an episode of acute gastroenteritis and the clinical course appeared indolent evolving over one week. Besides empirical antibiotics, initial percutaneous aspiration was performed and yielded pus which grew E. corrodens concomitantly with Streptococcus species. E. corrodens was sensitive to penicillin but resistant to clindamycin and metronidazole. But B. fragilis was resistant to penicillin. So the antibiotics were switched to amoxicillin/clavulanate. Unfortunately fever persisted and the abscess increased in size. Therefore echo-guided percutaneous drainage with pigtail catheter was installed. Fever subsided 5 days later. After 21 days treatment of antibiotics, the patient was discharged in good condition despite having some sterile fluid in the residual abscess cavity. Two months after discharge the follow-up echogram confirmed complete resolution of the residual abscess. This patient shows us the existence of E. corrodens in pediatric patients, especially when the hepatic abscess is very likely from the spread of an oral or abdominal infection.
P S Chang; Y H Ni; W T Lin; C Y Lee; M H Chang
Related Documents :
25261158 - Daptomycin for the treatment of bacteraemia due to vancomycin-resistant enterococci.
2607278 - Antimicrobial susceptibilities of eubacterium, peptostreptococcus, and bacteroides isol...
6372038 - Recovery of anaerobic bacteria from vented blood-culture bottles.
6285808 - Effect of systemic antimicrobial prophylaxis on microbial flora.
12494348 - Two flavonols from artemisa annua which potentiate the activity of berberine and norflo...
17897378 - A novel multiplex pcr for the identification of vibrio parahaemolyticus, vibrio cholera...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta paediatrica Taiwanica = Taiwan er ke yi xue hui za zhi     Volume:  40     ISSN:  1608-8115     ISO Abbreviation:  Acta Paediatr Taiwan     Publication Date:    1999 Jan-Feb
Date Detail:
Created Date:  1999-04-14     Completed Date:  1999-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100958202     Medline TA:  Acta Paediatr Taiwan     Country:  CHINA (REPUBLIC : 1949-)    
Other Details:
Languages:  eng     Pagination:  50-2     Citation Subset:  IM    
Department of Pediatrics, National Taiwan University Hospital, Taipei.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anti-Bacterial Agents / therapeutic use
Child, Preschool
Eikenella corrodens / drug effects,  isolation & purification*
Liver Abscess / microbiology*,  therapy
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Corneal opacity and congenital glaucoma associated with massive heparan sulfaturia: report of one ca...
Next Document:  Excitatory and inhibitory amino acid levels in the cerebrospinal fluids of children with neurologica...