title: Fish bone-induced hepatic abscess: medical treatment.
abstract: We report a case of a 59-year-old man admitted for acute myocardial infarction. He subsequently spiked a high-grade fever on the second day after percutaneous coronary intervention. Computed tomography imaging of the abdomen revealed a hepatic abscess secondary to gastrointestinal perforation by a fish bone. Medical therapy with antibiotics was preferred over surgical drainage of the hepatic abscess in view of the fact that the patient was on dual antiplatelet agents. The hepatic abscess was completely resolved with conservative antimicrobial therapy. Antimicrobial therapy appears to be a viable option in selected patients with hepatic abscess secondary to fish bone perforation, especially if they have contraindications to surgery.
authors: National Heart Centre, 17 Third Hospital Avenue, Mistri Wing, Singapore 168752.
authors: C T
authors: CT
authors: Ng
authors: A
authors: A
authors: Htoo
authors: S Y
authors: SY
authors: Tan
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D000818:Animals; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001842:Bone and Bones / Q000000981:diagnostic imaging; D004724:Endoscopy / Q000379:methods; D005399:Fishes; D005547:Foreign Bodies / Q000000981:diagnostic imaging; D006801:Humans; D008100:Liver Abscess / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D010975:Platelet Aggregation Inhibitors / Q000494:pharmacology; D011860:Radiography, Abdominal / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D000900:Anti-Bacterial Agents; D010975:Platelet Aggregation Inhibitors