title: [Pyogenic liver abscess complicated by gastric fistula and bacterial meningitis].
abstract: A 77-year-old woman was admitted suffering from fever and headache. On laboratory examination, bacterial meningitis and sepsis due to Klebsiella pneumoniae were diagnosed. In addition, a hepatic cystic lesion measuring 13 cm in diameter in the left lobe was indicated on diagnostic imaging. After treatment with antibiotics, her signs of infection improved and the hepatic lesion decreased in size. After discharge, however, the cystic liver mass increased and a gastric fistula developed. Hepatic and gastric resections were performed because of the possibility of biliary cystadenocarcinoma and gastric invasion. Pathologically, a pyogenic liver abscess complicated by gastric fistula was diagnosed.
authors.affiliation: Division of Hepatology, Department of Medicine, Kawasaki Medical School.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Tomiyama
authors.forename: Kenji
authors.initials: K
authors.lastname: Ohmoto
authors.forename: Naoko
authors.initials: N
authors.lastname: Yoshioka
authors.forename: Tomoya
authors.initials: T
authors.lastname: Kawase
authors.forename: Norikuni
authors.initials: N
authors.lastname: Shibata
authors.forename: Koji
authors.initials: K
authors.lastname: Yoshida
authors.forename: Makoto
authors.initials: M
authors.lastname: Kuboki
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Isao
authors.initials: I
authors.lastname: Irei
authors.forename: Atsushi
authors.initials: A
authors.lastname: Urakami
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Tsunoda
mesh_terms: D000368:Aged; D005260:Female; D005747:Gastric Fistula / Q000209:etiology*; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery; D016920:Meningitis, Bacterial / Q000150:complications* / Q000382:microbiology