title: [Multiple pyogenic liver abscesses with the decline in neutrophil phagocytic function: a case report].
abstract: A 51-year-old man presenting with fever, weight loss and general fatigue was diagnosed with jaundice and liver tumors and admitted to our hospital for further investigation and treatment. We diagnosed multiple pyogenic liver abscesses, obstructive jaundice, and silent syphilis. The patient was successfully treated with endoscopic biliary stenting, endoscopic nasobiliary drainage, percutaneous transhepatic abscess drainage, and, most effectively, transcatheter regional hepatic arterial infusion with antibiotics. We speculated that the decline in neutrophil phagocytic function may concern to occur the pyogenic liver abscess.
authors.affiliation: Department of Anatomic Pathology, Kyushu University, Japan. yukihiko@surgpath.med.kyushu-u.ac.jp
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Okumura
authors.forename: Rie
authors.initials: R
authors.lastname: Sugimoto
authors.forename: Terumasa
authors.initials: T
authors.lastname: Hisano
authors.forename: Masayuki
authors.initials: M
authors.lastname: Furukawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujiyama
authors.forename: Kenichi
authors.initials: K
authors.lastname: Taguchi
authors.forename: Akihiro
authors.initials: A
authors.lastname: Funakoshi
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D006801:Humans; D007261:Infusions, Intra-Arterial; D041781:Jaundice, Obstructive / Q000150:complications; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D009504:Neutrophils / Q000502:physiology*; D010587:Phagocytosis / Q000502:physiology*; D013587:Syphilis / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents