Salmonellosis with liver abscess mimicking hepatocellular carcinoma in a diabetic and cirrhotic patient: a case report and review of the literature.
Salmonellosis with liver abscess in a cirrhotic liver is extremely rare. We report the first case of Salmonellosis with septic shock and liver abscess in a diabetic and cirrhotic patient. The image studies of liver initially favored hepatocellular carcinoma. But no definite focus of sepsis was found. After close follow-up of the liver space-occupied lesion, ultrasound examination revealed the features of liver abscesses at space-occupied lesion later. Ultrasound-guided liver aspiration proved abscess. The clinical and radiological responses were good after antibiotics treatment.
Chou
Yeh-Pin
YP
Department of Internal Medicine, Division of Gastroenterology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan, Republic of China.
Changchien
Chi-Sin
CS
Chiu
King-Wah
KW
Kuo
Chung-Mou
CM
Kuo
Fang-Ying
FY
Kuo
Chung-Huang
CH
D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis* / Q000473:pathology; D048909:Diabetes Complications / Q000382:microbiology* / Q000473:pathology; D003920:Diabetes Mellitus / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology; D008100:Liver Abscess / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D008103:Liver Cirrhosis / Q000150:complications* / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012480:Salmonella Infections / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D019779:Salmonella enterica; D012772:Shock, Septic / Q000175:diagnosis / Q000473:pathology; D014463:Ultrasonography