An unusual pathogen for a liver abscess in a human immunodeficiency virus-infected individual.
Pyogenic liver abscesses are rarely encountered in HIV-infected patients living outside of temperate climates and are usually polymicrobial in nature, with a majority of the pathogens arising from gastrointestinal flora. We describe the second case of a liver abscess in an HIV-positive individual that was caused by methicillin-resistant Staphylococcus aureus (MRSA), most likely due to a partially treated community-acquired MRSA skin abscess. The liver abscess was successfully managed by percutaneous drainage and intravenous antibiotics. This case underlines the ubiquitous nature of community-acquired MRSA and its possible unusual presentations in immunocompromised hosts.
Sayana
Shilpa
S
Department of Medicine, AIDS Healthcare Foundation, Los Angeles, California 90028, USA. shilpa.sayana@aidshealth.org
Ricaurte
Juan-Carlos
JC
Khanlou
Homayoon
H
D000328:Adult; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000382:microbiology*; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis* / Q000382:microbiology* / Q000821:virology; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000821:virology