title: Aseptic lung and liver abscesses: a diagnostic challenge.
abstract: A 67-year-old man known with systemic sarcoidosis was admitted to the department of internal medicine because of cough and chest pain for several weeks. Thoracic tomodensitometry demonstrated multiple pulmonary nodules. Biopsies revealed features compatible with abscesses. Cultures and serologic tests were negative and the patient was successfully treated with prednisone. Three years later, a thoraco-abdominal tomodensitometry showed a relapse in the lung and also the apparition of similar lesions in the liver. Blood test revealed elevated CRP level at 40 mg/L and mild cholestasis. Biopsies of the liver excluded neoplastic or infectious diseases and showed inflammatory granulation tissue with abscess formation. A diagnosis of sarcoidosis-associated aseptic abscesses syndrome was then made, which was successfully treated with corticosteroids.
authors: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors: Halil
authors: H
authors: Yildiz
authors: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors: Aline
authors: A
authors: Munting
authors: b Department of pathology , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors: Mina
authors: M
authors: Komuta
authors: c Department of Radiology , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors: Etienne
authors: E
authors: Danse
authors: a Department of Internal Medicine , Cliniques Universitaires St Luc, Université Catholique de Louvain , Brussels , Belgium.
authors: Chantal
authors: C
authors: Lefebvre
mesh_terms: D000368:Aged; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis* / Q000209:etiology; D008171:Lung Diseases / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D012507:Sarcoidosis / Q000175:diagnosis* / Q000209:etiology
keywords: Aseptic abscesses; Sarcoidosis