title: Hepatic cyst infection in a healthy older male.
abstract: Simple hepatic cysts are usually asymptomatic and are not associated with impaired hepatic function. However, complications, such as obstructive jaundice, rupture, intracystic haemorrhage and infection, can occur. The authors describe the case of a 82-year-old man with fever and elevated C-reactive protein. A repeat contrast-enhanced abdominal CT scan revealed enlargement with peripheral enhancement in the left lateral segment of the liver. A diagnosis of infected hepatic cyst was made, and percutaneous transhepatic drainage of the cyst was performed. When a patient has liver cysts and high-grade fever, liver cysts should be considered as a focus of infection. Repetition of ultrasonography and/or CT studies should be considered, even if no typical findings are obtained initially. It is of note that conventional Ga-scintigraphy may be useful for the detection of infected site.
authors.affiliation: Center for Postgraduate Training, Nara Medical University, Kashihara, Japan.
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Mori
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Akai
authors.forename: Takaki
authors.initials: T
authors.lastname: Matsumoto
authors.forename: Hideto
authors.initials: H
authors.lastname: Kawaratani
authors.forename: Manabu
authors.initials: M
authors.lastname: Horii
authors.forename: Masayuki
authors.initials: M
authors.lastname: Iwano
authors.forename: Shiro
authors.initials: S
authors.lastname: Uemura
authors.forename: Akitaka
authors.initials: A
authors.lastname: Nonomura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Fukui
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Saito
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000032:analysis; D003287:Contrast Media; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006505:Hepatitis / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D003287:Contrast Media; D002097:C-Reactive Protein