A "fishy" cough: hepatobronchial fistula due to a pyogenic liver abscess.
A hepatobronchial fistula is an anatomic communication between the liver parenchyma and the bronchial tree. Major causes of such fistulae include inflammatory conditions resulting from obstruction of the biliary tract and infectious processes, such as pyogenic liver abscesses, amoebiasis, and hydatid cysts. We report a rare case of a patient (with a chronic, recurrent hepatic abscess) who suffered a persistent, productive cough resulting from a hepatobronchial fistula.
Department of Medicine, Walter Reed Army Medical Center, 6900 Georgia Ave., NW Washington, DC 20307, USA. Fouad.Moawad@na.amedd.army.mil
Fouad
F
Moawad
Alex
A
Truesdell
Brian
B
Mulhall
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001983:Bronchial Fistula / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism; D002908:Chronic Disease; D003015:Clostridium Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D003016:Clostridium perfringens / Q000302:isolation & purification; D003371:Cough / Q000209:etiology*; D013293:Enterococcus faecalis / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013183:Sputum / Q000378:metabolism; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents