title: Two Cases of Liver Abscesses Derived from Dental Disease in Patients with Alcoholic Chronic Pancreatitis.
abstract: Among the etiologies of pyogenic liver abscess (PLA), bacterial spread from the biliary tract or portal flow is the major cause, while the onset of PLA due to arterial bacterial transmission is rare. We herein report two cases of PLA thought to be caused by arterial transmission from dental disease. In both cases, there was benign biliary stricture as a result of alcoholic chronic pancreatitis, although normal oral flora was detected as the causative bacteria and oral hygiene was poor in both patients. We presumed that the origin of PLA was dental disease and successfully treated the patients with percutaneous drainage, antibiotics and dental procedures.
authors.affiliation: Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Japan.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Osawa
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Isayama
authors.forename: Suguru
authors.initials: S
authors.lastname: Mizuno
authors.forename: Yousuke
authors.initials: Y
authors.lastname: Nakai
authors.forename: Miho
authors.initials: M
authors.lastname: Matsukawa
authors.forename: Dai
authors.initials: D
authors.lastname: Mohri
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kogure
authors.forename: Takashi
authors.initials: T
authors.lastname: Sasaki
authors.forename: Natsuyo
authors.initials: N
authors.lastname: Yamamoto
authors.forename: Kenji
authors.initials: K
authors.lastname: Hirano
authors.forename: Naoki
authors.initials: N
authors.lastname: Sasahira
authors.forename: Minoru
authors.initials: M
authors.lastname: Tada
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Koike
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D018450:Disease Progression; D005260:Female; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D019512:Pancreatitis, Alcoholic / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D009057:Stomatognathic Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents