title: [A patient with sepsis and a gas-forming liver abscess caused by Clostridium perfringens treated with continuous perfusion drainage].
abstract: A 64-year-old man presented with diarrhea, fever, and disturbance of consciousness; he was subsequently diagnosed with acute renal and hepatic disorder. Abdominal computed tomography identified a gas-forming liver abscess, and the patient underwent emergency drainage. However, his condition did not improve, and Clostridium perfringens was observed in his blood culture. Continuous perfusion drainage was performed by placing an additional drainage tube, which resulted in abscess shrinkage and improved the patient's general condition. Despite the low survival rate in patients with gas-forming liver abscesses caused by C. perfringens, therapy was successful in this patient.
authors.affiliation: Digestive Disease Center, Department of Gastroenterology, Kyoto Katsura Hospital.
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Kusumoto
authors.forename: Akihiko
authors.initials: A
authors.lastname: Hamada
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Kusaka
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yamaguchi
authors.forename: Takuto
authors.initials: T
authors.lastname: Yoshioka
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Nakai
authors.forename: Susumu
authors.initials: S
authors.lastname: Matsubara
authors.forename: Hidemasa
authors.initials: H
authors.lastname: Azechi
authors.forename: Shigehiko
authors.initials: S
authors.lastname: Fujii
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kokuryu
mesh_terms: D003015:Clostridium Infections / Q000150:complications*; D003016:Clostridium perfringens; D004322:Drainage / Q000379:methods*; D006801:Humans; D008100:Liver Abscess / Q000209:etiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010477:Perfusion