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A middle-aged lady with a pyogenic liver abscess caused by Clostridium perfringens.
MedLine Citation:
PMID:  22993668     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The pyogenic liver abscess caused by Clostridium perfringens (C. perfringens) is a rare, but rapidly fatal infection. It is usually associated with malignancy and immunosuppression. We report the case of 50-year-old lady with the secondary liver metastases from rectal cancer presented with fever and epigastric pain. The identification of Gram-positive bacilli septicaemia, the presence of gas-forming liver abscess and massive intravascular hemolysis should lead to the suspicion of C. perfringens infection. Here we review twenty cases published since 1990 and their clinical features are discussed. The importance of "an aggressive treatment policy" with multidisciplinary team approach is emphasized.
Authors:
Siu-Tong Law; Ming Kai Lee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of hepatology     Volume:  4     ISSN:  1948-5182     ISO Abbreviation:  World J Hepatol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-09-20     Completed Date:  2012-10-02     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101532469     Medline TA:  World J Hepatol     Country:  China    
Other Details:
Languages:  eng     Pagination:  252-5     Citation Subset:  -    
Affiliation:
Siu-Tong Law, Ming Kai Lee, Division of Gastroenterology and Hepatology, Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, Hong Kong, China.
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