title: [Sometimes a liver can cause you headaches].
abstract: METHODS
  We report on a 41-year-old patient who was taken over from an outside hospital with headache, fever, polydipsy and profound sweating.
  
  
  METHODS
  Blood cultures revealed an infection due to Klebsiella pneumonia. CT exhibited a large liver abscess in segments VI and VII (7,6 x 7,2 x 9,9 cm).
  
  
  METHODS
  We started an empiric antibiotic treatment with meropenem, linezolid and fluconazole. After susceptibility testing the antibiotic treatment was adapted to ciprofloxacin and continued for 4 weeks. Furthermore, we placed a CT-guided drainage of the abscess. In follow-up visits, his lab values normalized and the size of the abscess decreased.
  
  
  CONCLUSIONS
  A pyogenic liver abscess is a rare but severe inflammatory disease. The etiology is often unclear. Depending on localisation a conservative, a surgical or a treatment with a targeted drainage is necessary. However, an isolation of the pathogen for antibiotic testing should be achieved and long term antibiotic treatment should be performed.
authors: Medizinische Klinik, Universitätsklinikum Tübingen.
authors: Niklas F
authors: NF
authors: Müller
authors: Medizinische Klinik, Universitätsklinikum Tübingen.
authors: Ulrich M
authors: UM
authors: Lauer
authors: Diagnostische und Interventionelle Radiologie, Universitätsklinikum Tübingen.
authors: Marius
authors: M
authors: Horger
authors: Medizinische Klinik, Universitätsklinikum Tübingen.
authors: Nisar P
authors: NP
authors: Malek
authors: Medizinische Klinik, Universitätsklinikum Tübingen.
authors: Christoph P
authors: CP
authors: Berg
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006261:Headache / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007710:Klebsiella Infections / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D046290:Liver Abscess, Pyogenic / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents