title: Pantoea agglomerans liver abscess presenting with a painful thigh.
abstract: This case highlights that an acute myositis leading to rhabdomyolysis may occur as a rare complication of hepatic abscess and shows the benefit of early recognition of this possible association. A 70-year-old man presented with fever and lower limb myalgia, with laboratory evidence of acute renal failure secondary to rhabdomyolysis. Blood cultures revealed Pantoea agglomerans, which led to identification of a hepatic abscess on computed tomography scan. Supportive care together with antibiotics led to normalization of renal function and resolution of the abscess. This appears to be the first report of a patient with a liver abscess presenting with myositis and rhabdomyolysis. Early recognition of this possible association is vital to limit morbidity and mortality.
authors.affiliation: Department of aRespiratory Medicine, Royal Bolton Hospital, Bolton, UK. duncan.fullerton@nhs.net
authors.forename: Duncan G
authors.initials: DG
authors.lastname: Fullerton
authors.forename: Aye A
authors.initials: AA
authors.lastname: Lwin
authors.forename: Simon
authors.initials: S
authors.lastname: Lal
mesh_terms: D000368:Aged; D016905:Gram-Negative Bacterial Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008100:Liver Abscess / Q000150:complications* / Q000175:diagnosis; D008297:Male; D009220:Myositis / Q000382:microbiology*; D020636:Pantoea; D012206:Rhabdomyolysis / Q000382:microbiology*; D013848:Thigh; D014057:Tomography, X-Ray Computed