Morganella morganii causing solitary liver abscess complicated by pyopericardium and left pleural effusion in a nondiabetic patient.
Morganella morganii is a rare cause of solitary liver abscess in Taiwan. The complication of pyopericardium and pleural effusion in nondiabetic patient with solitary liver abscess are also rare. We present a case of a 48-year-old nondiabetic woman who experienced with epigastric discomfort 1 month prior to admission. Chills and fever developed 2 weeks before admission. Physical examination on admission revealed engorgement of the jugular vein over the right neck, precordial friction rubs, and tenderness over the right upper quadrant of abdomen. Chest film showed mild cardiomegaly and left pleural effusion. Computed tomography of the abdomen showed liver abscess, left hepatic lobe, pyopericardium, and left pleural effusion. M. morganii was isolated from 2 sets of blood cultures, one set of hepatic pus culture, and one set of pericardial pus culture. After pigtail drainage of liver abscess, pyopericardium for 12 days, and ceftriaxone intravenous administration for 19 days, the patient was discharged in stable condition.
Tsai
Wen-Cheng
WC
Section of Infectious Diseases, Armed Forces Tsoying Hospital, Kaohsiung, Taiwan, ROC. wen001@ksmail.seednet.tw
Chang
Liang-Kai
LK
D003920:Diabetes Mellitus / Q000175:diagnosis; D004359:Drug Therapy, Combination; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000000981:diagnostic imaging / Q000382:microbiology; D005260:Female; D006801:Humans; D007958:Leukocyte Count / Q000379:methods; D008100:Liver Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology*; D008875:Middle Aged; D020613:Morganella morganii / Q000254:growth & development / Q000302:isolation & purification*; D010397:Penicillanic Acid / Q000031:analogs & derivatives* / Q000627:therapeutic use; D010496:Pericardium; D010878:Piperacillin / Q000627:therapeutic use; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D011859:Radiography; D013492:Suppuration / Q000382:microbiology; D000078142:Tazobactam
D010397:Penicillanic Acid; D000078142:Tazobactam; D010878:Piperacillin