Multilocular pyogenic hepatic abscess complicating ascaris lumbricoides infestation.
A 74-year-old man was admitted to our hospital with frequent right flank pain. The multiple multilocular hepatic abscesses were revealed by computed tomography. Radiographs following a barium meal showed a linear filling defect in the ileum consistent with ascariasis. One day after treatment with pyrantel pamoate, an Ascaris was passed in the stool. The pyogenic hepatic abscesses gradually healed with both antibiotics and continuous drainage. After 2 months, he was discharged. In this case, the pyogenic hepatic abscesses were thus considered to have been caused by an inflammation which spread through the portal vein.
Ogata
H
H
Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka.
Tsuji
H
H
Hizawa
K
K
Suzuki
N
N
Fujishima
M
M
D000368:Aged; D000818:Animals; D000969:Antinematodal Agents / Q000627:therapeutic use; D001196:Ascariasis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D017164:Ascaris lumbricoides / Q000302:isolation & purification*; D002438:Cefoperazone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005243:Feces / Q000469:parasitology; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D007411:Intestinal Diseases, Parasitic / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D011716:Pyrantel Pamoate / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000969:Antinematodal Agents; D002511:Cephalosporins; D002438:Cefoperazone; D011716:Pyrantel Pamoate