[Status febrilis and jaundice].
A 49 year old patient was admitted with fever and jaundice. Laboratory evaluation showed leukocytosis, elevated values for C-reactive protein, transaminases, bilirubin and alkaline phosphatase. Ultrasound and subsequent CT-scan revealed multiple liver lesions and a liquid mass in the bursa omentalis. A CT-guided catheter-drainage was performed and streptococcus milleri isolated from the abscess and one blood culture. After empiric broad spectrum treatment with Piperacillin/Tazobactam (Tazobac) and Netilmicin (Netromycin), Ceftriaxon (Rocephin) was given for a total treatment time of 10 days. Further evaluation revealed a perforated peptic ulcer as possible etiology for the described localized infectious complication.
Knechtle
B
B
Medizinische Klink, Kantonsspital Zug.
Kaufmann
A
A
Diem
M
M
Vogt
M
M
D018784:Abdominal Abscess / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D008100:Liver Abscess / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009852:Omentum; D010439:Peptic Ulcer Perforation / Q000150:complications / Q000175:diagnosis; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000628:therapy
Status febrilis und Ikterus.