Liver abscesses due to Staphylococcus aureus in a patient with AIDS who underwent small bowel biopsy: case report and review.
A 36-year-old man with overgrowth of Staphylococcus aureus in the small bowel underwent a biopsy of the small bowel and presented 5 weeks later with multiple liver abscesses. To our knowledge, small bowel biopsy has never been associated with liver abscesses. We discuss the literature on liver abscesses in patients with AIDS and the risks of bacteremia following upper endoscopy and small bowel biopsy and propose that the etiology of the liver abscesses in our patient was seeding of the portal vein following biopsy of a small bowel that had significant bacterial overgrowth.
Gunnarsson
G
G
Division of Infectious Diseases, New England Deaconess Hospital, Boston, Massachusetts 02215.
Friedman
L S
LS
Wanke
C
C
D017088:AIDS-Related Opportunistic Infections / Q000209:etiology / Q000382:microbiology* / Q000469:parasitology; D000328:Adult; D001706:Biopsy / Q000009:adverse effects*; D003457:Cryptosporidiosis / Q000150:complications / Q000175:diagnosis; D003967:Diarrhea / Q000150:complications / Q000175:diagnosis; D004382:Duodenitis / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D004384:Duodenoscopy / Q000009:adverse effects*; D004386:Duodenum / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D008100:Liver Abscess / Q000209:etiology / Q000382:microbiology*; D008297:Male; D011169:Portal Vein; D013203:Staphylococcal Infections / Q000209:etiology