title: Resection of a methicillin-resistant Staphylococcus aureus liver abscess in a patient with Crohn's disease under infliximab treatment: a case report.
abstract: BACKGROUND
  A liver abscess in Crohn's disease is a rare but important entity that is associated with a poor prognosis and high mortality when treatment is delayed. We report a case of successful liver segmentectomy for a methicillin-resistant Staphylococcus aureus liver abscess in a patient with Crohn's disease under infliximab treatment.
  
  
  METHODS
  A 31-year-old Japanese man, who had been treated with infliximab infusions for Crohn's disease, was referred to our hospital presenting with an abrupt onset of high fever and an elevated white blood cell count and serum C-reactive protein level. Computed tomography revealed a liver abscess occupying segment 8. The limited effect of percutaneous transhepatic abscess drainage and antibiotics led us to perform radical resection of the abscess. The patient recovered quickly after surgery and the postoperative course was uneventful.
  
  
  CONCLUSIONS
  The present case suggests that surgical removal of an abscess should be considered for patients under immunosuppression or refractory to conventional treatment.
authors: Department of Surgery, Artificial Organ and Transplantation Surgery Division, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. yasusuga-tky@umin.net.
authors: Junichi
authors: J
authors: Togashi
authors: Yasuhiko
authors: Y
authors: Sugawara
authors: Nobuhisa
authors: N
authors: Akamatsu
authors: Taku
authors: T
authors: Aoki
authors: Masayoshi
authors: M
authors: Ijichi
authors: Mami
authors: M
authors: Tanabe
authors: Koji
authors: K
authors: Kusaka
authors: Masayuki
authors: M
authors: Shibazaki
authors: Tokuma
authors: T
authors: Tadami
authors: Minako
authors: M
authors: Sakou
authors: Masakazu
authors: M
authors: Takazoe
authors: Yasutsugu
authors: Y
authors: Bandai
authors: Norihiro
authors: N
authors: Kokudo
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