title: Septic shock and bacteremia associated with laparoscopic guided liver biopsy, report on two cases.
abstract: Two cases of infectious complications after liver biopsy are reported. Klebsiella pneumoniae and beta-hemolytic Streptococcus were cultured. In both cases the biopsy was obtained under laparoscopic control. A 28-year-old woman with liver cirrhosis died 24 hours after liver biopsy as a result of septic shock and disseminated intravascular coagulation. A 67-year-old man with hepatic fibrosis suffered from transient bacteremia and recovered uneventfully after antibiotic therapy. In these patients, there was evidence to implicate pre-existing cholangitis as factor predisposing to postbiopsy bacteremia.
authors.affiliation: Department of Internal Medicine, Hospital General Nuestra Señora de la Esperanza, Autonomous University of Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Domingo
authors.forename: J
authors.initials: J
authors.lastname: Grau
authors.forename: A
authors.initials: A
authors.lastname: Vázquez
authors.forename: A
authors.initials: A
authors.lastname: Díez
authors.forename: J
authors.initials: J
authors.lastname: Coll
authors.forename: J
authors.initials: J
authors.lastname: Vivancos
mesh_terms: D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000209:etiology*; D007711:Klebsiella pneumoniae; D008099:Liver / Q000473:pathology*; D008297:Male; D018805:Sepsis / Q000209:etiology*; D012772:Shock, Septic / Q000209:etiology*; D013290:Streptococcal Infections / Q000209:etiology*