Bacterial-mycotic liver abscess in a non-immunocompromised host.
We are presenting the case of a 70-year-old, formerly healthy patient. Seven weeks after abdominal surgery, a liver abscess was diagnosed by sonography and aspiration. Cultures revealed a mixed bacterial-fungal etiology. Treatment with irrigation (povidone iodine) and parenteral mezlocillin failed. Final cure was only achieved when long-term treatment with piperacillin and miconazole was initiated and abscess drainage removed.
D000368:Aged; D001424:Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D002177:Candidiasis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D008802:Mezlocillin / Q000627:therapeutic use; D008825:Miconazole / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D011183:Postoperative Complications / Q000175:diagnosis; D011206:Povidone-Iodine / Q000627:therapeutic use
D008825:Miconazole; D011206:Povidone-Iodine; D008802:Mezlocillin; D010878:Piperacillin