title: A case of sudden onset septicemia in recurred gastric cancer following s1 plus docetaxel treatment.
abstract: Pyogenic liver abscess in patients with malignant disease is a fatal state and is easily diagnosed. We presented a rare case of sudden fatal septicemia following anticancer treatment for recurred gastric cancer due to multiple liver abscesses which could not be diagnosed. A 72-year-old male with recurred gastric cancer received anticancer agents. He had a history of distal gastrectomy with right hepatic lobectomy for hepatic metastasis. He received anticancer treatment in the outpatient's service center periodically, and his performance status was preserved with nothing in particular. After administrating docetaxel, he suddenly developed septicemia and multiple organ failure and died 5 days after strong medical supports. Pathological autopsy revealed that multiple minute abscesses of the liver which could not be detected macroscopically were the causes of fatal septicemia. The etiology, therapies and prognosis of rare entity are being discussed.
authors.affiliation: Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University School of Medicine, Kagoshima, Japan.
authors.forename: Sumiya
authors.initials: S
authors.lastname: Ishigami
authors.forename: Takaaki
authors.initials: T
authors.lastname: Arigami
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Uenosono
authors.forename: Yasuto
authors.initials: Y
authors.lastname: Uchikado
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Kita
authors.forename: Ken
authors.initials: K
authors.lastname: Sasaki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okumura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kurahara
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kijima
authors.forename: Akihiro
authors.initials: A
authors.lastname: Nakajo
authors.forename: Kosei
authors.initials: K
authors.lastname: Maemura
authors.forename: Shoji
authors.initials: S
authors.lastname: Natsugoe
keywords: Anticancer drug; Hepatectomy; Immunodeficiency; Liver abscess, pyogenic; Sepsis; Stomach neoplasms