title: [Complicated amebic liver abscess--course and therapy].
abstract: We report on a case of an amoebic liver abscess acquired during a holiday in Bali. Transdiaphragmatic migration and consecutive atelectasis of the right lung caused respiratory insufficiency, requiring immediate surgical intervention. Complications consisted of massive bleeding into the colon concomitant with a reactivated CMV-infection. In addition, toxins of Clostridium difficile and enterohaemorrhagic E. coli were seen in the faeces. In contrast to the majority of uncomplicated cases of amoebic liver abscess, usually treated with amoebicidal drugs only, surgical intervention was clearly indicated in our patient.
authors.affiliation: Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf, Hamburg.
authors.forename: A
authors.initials: A
authors.lastname: Nierhaus
authors.forename: W
authors.initials: W
authors.lastname: Pothmann
authors.forename: J M
authors.initials: JM
authors.lastname: Pollok
authors.forename: P
authors.initials: P
authors.lastname: Schäfer
authors.forename: D
authors.initials: D
authors.lastname: Mack
mesh_terms: D003131:Combined Modality Therapy; D003586:Cytomegalovirus Infections / Q000150:complications / Q000601:surgery; D004761:Enterocolitis, Pseudomembranous / Q000150:complications / Q000601:surgery; D004927:Escherichia coli Infections / Q000150:complications / Q000601:surgery; D019453:Escherichia coli O157; D005243:Feces / Q000382:microbiology; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000601:surgery; D006801:Humans; D008101:Liver Abscess, Amebic / Q000150:complications / Q000601:surgery* / Q000635:transmission; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy; D001261:Pulmonary Atelectasis / Q000150:complications / Q000601:surgery; D012131:Respiratory Insufficiency / Q000150:complications / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014195:Travel; D014640:Vancomycin / Q000627:therapeutic use
chemical_list: D014640:Vancomycin