title: Liver abscess caused by Salmonella choleraesuis.
abstract: A 65-year-old man with long-term alcohol abuse presented with intermittent fever. Abdominal computed tomography revealed multiple masses. Abscess blood and pus cultures conducted after percutaneous catheter drainage with pigtail catheters yielded Salmonella choleraesuis. Antibiotic treatment with meropenem was started using multiple catheters in the liver. Drainage catheters in different locations were exchanged several times with larger-bored catheters. After septicemia was detected, abscesses spread to the peritoneal cavity. Pleural complications developed. Antibiotic treatment, with careful drainage guided by ultrasound or computed tomography, controlled the abscesses and complications. This report describes the difficult clinical course and treatment of a liver abscess from S. choleraesuis.
authors.affiliation: Department of Internal Medicine, Kitasato University Medical Center, Saitama, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Kamatani
authors.affiliation: Department of Radiology, Kitasato University Medical Center, Saitama, Japan.
authors.forename: Takemichi
authors.initials: T
authors.lastname: Okada
authors.affiliation: Department of Radiology, Kitasato University Medical Center, Saitama, Japan.
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Iguchi
authors.affiliation: Department of Surgery, Kitasato University Medical Center, Saitama, Japan.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Takahashi
authors.affiliation: Department of Internal Medicine, Kitasato University Medical Center, Saitama, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Yokomori
keywords: CT; Salmonella choleraesuis; bacteremia; liver abscess