Hepatic abscess caused by Salmonella typhi: diagnosis and management by percutaneous echo-guided needle aspiration.
Three cases of liver abscesses due to Salmonella typhi (2 solitary, 1 with double localization in the right lobe) are described in which specific diagnosis was based on percutaneous echo-guided aspiration of the lesions. Haemocultures and coprocultures were negative, in all cases, and pus-cultures of aspirated material from cavities grew Salmonella typhi; Widal became significantly positive only in one patient 15 days after discharge. Percutaneous needle drainage, combined with chloramphenicol therapy, was successfully performed under echo guidance; only in one case was a second aspiration needed three days after the first one. Fever disappeared within 48-72 hours after drainage of the abscess. No complications or side-effects were observed.
Giorgio
A
A
V Divisione, Ospedale D. Cotugno, Napoli, Italy.
Tarantino
L
L
De Stefano
G
G
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle / Q000379:methods; D002701:Chloramphenicol / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012485:Salmonella typhi / Q000302:isolation & purification; D013997:Time Factors; D014435:Typhoid Fever / Q000150:complications*; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D002701:Chloramphenicol