[Liver abscess caused by Streptococcus intermedius, following hemorrhoidectomy].
The pyogenic liver abscess is an uncommon but potentially lethal complication of colo-anal surgery. The authors report a case due to Streptococcus intermedius, a pathogen with a known ability to produce visceral abscesses, after haemorrhoidectomy. According to the French consensus conference, the patient had received a prophylactic preoperative antibiotic regimen consisting of metronidazole, active against S intermedius. Despite surgical therapy and adequate antibiotics, the patient died of hepatic failure.
Mohammedi
I
I
Service de réanimation polyvalente, hôpital E-Herriat, Lyon, France.
Duperret
S
S
Faysse
E
E
Vedrinne
J M
JM
Motin
J
J
D017809:Fatal Outcome; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008100:Liver Abscess / Q000209:etiology* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000382:microbiology*; D013290:Streptococcal Infections / Q000209:etiology* / Q000382:microbiology