title: [Surgical-radiologic interventional treatment in liver abscess with Streptococcus anginosus Milleri].
abstract: Pyogenic liver abscess is a relatively rare disease, often concerning elderly patients in bad general condition and with underlying diseases. Out of a retrospective study (1984-1991) of 44 patients (f 43%, m 57%) with pyogenic liver abscesses and 12 patients (f 17%, m 83%) with amebic liver abscesses we present 5 patients with multifocal lesions due to Streptococcus anginosus Milleri--a special group concerning therapy and course of disease. The therapy was high-dose i.v. antibiotic therapy in all 5 cases and additional percutaneous drainage with pig-tail catheters--inserted under CT guidance--in 4 cases (1-5 catheters, time of drainage 6-63 days). The duration of hospitalisation was 15-73 days (median 45), intravenous antibiotic treatment lasted 4-40 days. After discharge oral antibiotics were continued for 14-42 days.
authors.affiliation: Universitätsklinik für Viszerale und Transplantationschirurgie, Inselspital Bern.
authors.forename: M
authors.initials: M
authors.lastname: Naef
authors.forename: E
authors.initials: E
authors.lastname: Frei
authors.forename: M
authors.initials: M
authors.lastname: Soucek
authors.forename: M
authors.initials: M
authors.lastname: Berthold
authors.forename: W
authors.initials: W
authors.lastname: Schweizer
authors.forename: A
authors.initials: A
authors.lastname: Czerniak
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002408:Catheters, Indwelling; D003131:Combined Modality Therapy; D004322:Drainage / Q000295:instrumentation; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Die chirurgisch-radiologisch-interventionelle Behandlungstaktik bei Leberabszessen mit Streptococcus anginosus Milleri.