Staphylococcus aureus hepatic abscess associated with cervical lymphadenitis

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dc.authorscopusid7102994651
dc.authorscopusid24922230400
dc.authorscopusid27169492000
dc.authorscopusid6701537113
dc.contributor.authorÇelik A.D.
dc.contributor.authorYulu?kural Z.
dc.contributor.authorKulo?lu F.
dc.contributor.authorAkata F.
dc.date.accessioned2024-06-12T10:28:07Z
dc.date.available2024-06-12T10:28:07Z
dc.date.issued2009
dc.description.abstractPyogenic liver abscesses usually develop secondary to biliary tract and intraabdominal infections and members of the Enterobacteriaceae family are usually implicated as the etiologic agents. In this report a case of hepatic abscess devoloped secondary to cervical lymphadenitis caused by Staphylococcus aureus, was presented. Twenty-one years old male patient was admitted to the hospital with complaints of fever, swelling and pain at the right side of the neck and difficulty in swallowing. Physical examination revealed painful submandibular lymphadenopathy with hyperemia. Upon demonstration of cystic lympha-denopathy by magnetic resonance imaging of the neck, the mass was aspirated. Gram-positive cocci with abundant leucocytes were detected in Gram stained smears of the aspiration material and methicillin-susceptible S.aureus (MSSA) was identified in the culture. Treatment with ampicillin/sulbactam (4 × 1.5 g/day) was initiated. However, since patient still had fever and abdominal pain, nausea and vomitting were also added to his complaints, abdominal ultrasonography and computerized tomography (CT) were done and abscesses were demonstrated in liver. The abscesses were drained under CT guidance and the fever of the patient resolved. Treatment with ampicillin/sulbactam was continued for 6 weeks. Although it was considered that the hematogenous spread of MSSA that led to cervical lymphadenitis caused the hepatic abscesses, the agent was neither isolated from the blood culture nor from the hepatic abscess material. It should always be taken into consideration that liver abscesses might accompany distant infections and antibiotic therapy alone might not be sufficient for the complete resolution of such infections.en_US
dc.identifier.endpage317en_US
dc.identifier.issn0374-9096
dc.identifier.issue2en_US
dc.identifier.pmid19621619en_US
dc.identifier.scopus2-s2.0-67649510708en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage313en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17079
dc.identifier.volume43en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofMikrobiyoloji Bultenien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical Lymphadenitis; Hepatic Abscess; Staphylococcus Aureusen_US
dc.subjectAmpicillin; Antiinfective Agent; Sulbactam; Sultamicillin; Adult; Article; Case Report; Human; Isolation And Purification; Liver Abscess; Lymphadenitis; Male; Microbiology; Neck; Staphylococcus Aureus; Staphylococcus Infection; Wound Drainage; Ampicillin; Anti-Bacterial Agents; Drainage; Humans; Liver Abscess; Lymphadenitis; Male; Neck; Staphylococcal Infections; Staphylococcus Aureus; Sulbactam; Young Adulten_US
dc.titleStaphylococcus aureus hepatic abscess associated with cervical lymphadenitisen_US
dc.title.alternativeServi?kal lenfadeni?t eşli??i?nde geli?şen staphylococcus aureus'un etken oldu?u karaci??er apsesi?en_US
dc.typeArticleen_US

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